Billing Analyst Job at Clinical Management Consultants, Lake Worth, FL

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Job Description

An exciting opportunity is now available for an experienced Billing Compliance Analyst at a top acute care facility in the South Florida/Palm Beach County area. This is an exceptional opportunity not to be missed!

This 230+ bed, state-of-the-art teaching facility is one of Florida’s most respected & preferred hospitals, consistently performing in the top 10 percent of hospitals for patient quality and satisfaction. This non-profit hospital offers a comprehensive continuum of inpatient and outpatient health care services, expertise and specialties, including orthopedics and spine care, cancer care, cardiac and vascular care, stroke, obstetrics & maternity care, pediatrics, emergency care as well as diagnostic imaging, screening, testing and urgent care.

Under the direct supervision of the Director of PFS, this position is responsible for the hospitals billing compliance program and monitoring billing compliance activities to ensure compliance with federal and state programs. Additionally, this position will perform weekly audits of the billers and collaborate with the Billing Manager to identify risks and to present findings to improve processes and assisting the billing manager with proper protocols when identifying areas of concern or upcoming CMS changes.

Other responsibilities include:

  • Monitor, analyze, and report the effectiveness of billing compliance
  • Review all findings with the Billing Manager and coordinate training of staff on changes or compliance issues identified
  • Work collaboratively with team Members to identify and recommend strategies for process improvement
  • Document education provided to Team Members, and maintain records of training sessions
  • Research changes in national and local coding and billing coverage decisions
  • Provide feedback in a helpful manner to appropriate parties and provides guidance to improve billing procedures
  • Applications utilized include Excel, Word, Star, Cerner, HPF, Experian products through Claim Source, Contract Manager, On-Target-Revenue/RAC Manager, and others as necessary.
  • Performs other duties as assigned.

Requirements
  • Bachelor's Degree
  • Certified Coder preferred
  • 3-5 years' experience related to billing compliance, revenue cycle, patient financial services, health care data analyst or other relevant experience with Federal auditing regulations, billing, and coding.
  • Experience in conducting hospital research with CMS and interpretation of new legislation affecting hospital billing.
  • Able to abstract and communicate federal and state documentation/transmittal's with PFS department and to identify key stakeholders impacted by upcoming changes to billing and reimbursement.
  • Experience in auditing billing activities to ensure compliance with State and Federal programs.
  • Ability to be flexible, prioritize, plan and collaborate changes required by State and Federal governments.

Located in Palm Beach County, this hospital is just a quick 10-minute car ride from the Atlantic Ocean. See the beautiful shades of blue reflecting off the water as you drive to work each morning. With an abundance of outdoor activities is just around the corner. Find incredible beaches, state parks, water sports (fishing, kayaking, snorkeling) right outside your back door. The ever-evolving food scene is sure to keep you around as the diverse selection of top tier food is located on every corner. With amazing A rated school districts & family friendly communities, there is something for everyone here.

This acute care facility is prepared to offer a competitive compensation package including industry leading benefits and continued growth opportunities.

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