Company Detail

Revenue Integrity Supervisor OP Infusion and WIS - Banner Health
Posted: Oct 22, 2022 07:22
Lexington, SC

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$26.64/hr - $44.40/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it. We have teams comprised of Charge Capture, Pre-bill, Post-bill and Monitoring (Auditing). RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement

The Revenue Integrity Supervisor is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of the team ensuring timely, accurate revenue resulting from hospital services.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of charge specialists ensuring timely and accurate charge capture and correction of revenue resulting from hospital services.

CORE FUNCTIONS

  1. Hires, trains, conducts performance evaluations, and supervises the workflow for designated charge staff within department. This includes initiating promotions, transfers, and disciplinary actions. This includes establishing priorities, workloads, controls and work procedures, as well as determines resources needed. Provides oversight and coordination for charge staff who have direct reporting lines to operational leaders.

  2. Gathers data from various sources to document and analyze statistics and financial information necessary to complete projects in assigned area. Generates various monthly or bi-weekly financial reports or ad hoc reports that enable management to control and analyze operations.

  3. Works with management and staff of various departments to assist with financial data gathering and/or interpretation. Ensures accuracy of financial information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial reporting.

  4. Works with other analysts to manage key financial processes within the organization (including operating budgets, forecasts program reporting and analysis, charge management, cost accounting, decision support and reimbursement analysis).

  5. Provides financial modeling resources for special projects assigned to the department by management for analysis.

  6. Prepares timely and accurate reports and presentations for state and federal agencies, administration and corporate to satisfy mandated reporting requirements policy, law or management. Maintains accurate statistical, contractual or other financial databases, as assigned.

  7. May serve as Cost Center/Program CFO (as assigned), which includes the initiation and assistance in identification and implementation of operating improvements and efficiencies by identifying important trends and variances through the review of management reports and financial analysis. Educates users of the assigned financial reporting system on the utilization of reports and the functionality of those reports.

  8. Works with management and staff of various departments to assist with data gathering and/or interpretation. Ensures accuracy of information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial and other business reporting purposes.

  9. Provides leadership, direction and training for staff reporting to operation leaders; audits and resolves work process problems. Uses specialized knowledge to analyze information and solve business problems. Works independently under general supervision. Provides management with accurate and timely information necessary to effectively manage financial operations for revenues in excess of $300m annually. Consults internally with Department Directors, Administration, Data Operations, Financial Services Department Personnel and Banner Health System personnel. Works with State governmental agencies, colleagues as other healthcare facilities, professional organizations and outside vendors.

MINIMUM QUALIFICATIONS

Requires a Bachelor's degree in Accounting, Finance or Business Administration or equivalent experience.

Requires a proficiency level typically attained with 3 to 4 years of experience in healthcare financial management/analysis work. Must have excellent analytical and organizational skills and the ability to manage multiple priorities with changing needs and deadlines. Requires excellent human relations skills and the ability to effectively interact and communicate both verbally and in writing with all levels staff and outside professionals.

Requires strong abilities in statistical analysis, data interpretation, computer software applications, database and spreadsheet programs, plus a proficiency in financial modeling techniques to generate management reports, projections, allocations, and analyses.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Revenue Integrity Supervisor OP Infusion and WIS - Banner Health
Posted: Oct 22, 2022 07:22
Charlotte, NC

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$26.64/hr - $44.40/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it. We have teams comprised of Charge Capture, Pre-bill, Post-bill and Monitoring (Auditing). RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement

The Revenue Integrity Supervisor is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of the team ensuring timely, accurate revenue resulting from hospital services.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of charge specialists ensuring timely and accurate charge capture and correction of revenue resulting from hospital services.

CORE FUNCTIONS

  1. Hires, trains, conducts performance evaluations, and supervises the workflow for designated charge staff within department. This includes initiating promotions, transfers, and disciplinary actions. This includes establishing priorities, workloads, controls and work procedures, as well as determines resources needed. Provides oversight and coordination for charge staff who have direct reporting lines to operational leaders.

  2. Gathers data from various sources to document and analyze statistics and financial information necessary to complete projects in assigned area. Generates various monthly or bi-weekly financial reports or ad hoc reports that enable management to control and analyze operations.

  3. Works with management and staff of various departments to assist with financial data gathering and/or interpretation. Ensures accuracy of financial information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial reporting.

  4. Works with other analysts to manage key financial processes within the organization (including operating budgets, forecasts program reporting and analysis, charge management, cost accounting, decision support and reimbursement analysis).

  5. Provides financial modeling resources for special projects assigned to the department by management for analysis.

  6. Prepares timely and accurate reports and presentations for state and federal agencies, administration and corporate to satisfy mandated reporting requirements policy, law or management. Maintains accurate statistical, contractual or other financial databases, as assigned.

  7. May serve as Cost Center/Program CFO (as assigned), which includes the initiation and assistance in identification and implementation of operating improvements and efficiencies by identifying important trends and variances through the review of management reports and financial analysis. Educates users of the assigned financial reporting system on the utilization of reports and the functionality of those reports.

  8. Works with management and staff of various departments to assist with data gathering and/or interpretation. Ensures accuracy of information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial and other business reporting purposes.

  9. Provides leadership, direction and training for staff reporting to operation leaders; audits and resolves work process problems. Uses specialized knowledge to analyze information and solve business problems. Works independently under general supervision. Provides management with accurate and timely information necessary to effectively manage financial operations for revenues in excess of $300m annually. Consults internally with Department Directors, Administration, Data Operations, Financial Services Department Personnel and Banner Health System personnel. Works with State governmental agencies, colleagues as other healthcare facilities, professional organizations and outside vendors.

MINIMUM QUALIFICATIONS

Requires a Bachelor's degree in Accounting, Finance or Business Administration or equivalent experience.

Requires a proficiency level typically attained with 3 to 4 years of experience in healthcare financial management/analysis work. Must have excellent analytical and organizational skills and the ability to manage multiple priorities with changing needs and deadlines. Requires excellent human relations skills and the ability to effectively interact and communicate both verbally and in writing with all levels staff and outside professionals.

Requires strong abilities in statistical analysis, data interpretation, computer software applications, database and spreadsheet programs, plus a proficiency in financial modeling techniques to generate management reports, projections, allocations, and analyses.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Charge Specialist OR and Endo Remote - Banner Health
Posted: Oct 22, 2022 07:22
Charlotte, NC

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$19.23/hr - $28.84/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

This is a very self-managed team that is focused on ensuring daily goals are met with extreme accuracy and speed. In this Charge Specialist you will be able to use use your attention to detail to audit and discover areas for corrections. You will be capturing charges for Observation, working through documentation, and ensuring that orders are accurate and ready for submittal. This is a great position if you are self-managed and desire a flexible schedule.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position assigns appropriate billing codes for an acute care, periop, or outpatient unit(s), clinic(s) or medical office(s) system-wide. Evaluates medical records, provider notes and dictation to determine appropriate procedure codes to assign to patient records and bills. Uses coding software and the company's Charge Description Master (CDM) to create billings and charges for insurers, government agencies and other payors.

CORE FUNCTIONS

  1. Reviews patient records, dictated report(s), physician/provider notes. Uses a standard listing of procedures/charge codes and/or an automated system with the company's programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).

  2. Identifies opportunities for improvement in clinical documentation. Shares that information with the appropriate Revenue Integrity staff. Maintains a current knowledge of procedural terminology requirements and documentation requirements.

  3. Works with other point of service charging/coding staff to maintain consistency in practice across the system.

  4. Works as a member of the system team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support.

  5. Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on business goal attainment. Customers include physicians, nurses, physician office staff, third party payors, central billing staff, staff from other departments and patients/patient families.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires a level of knowledge normally gained over two or more years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.

Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.

PREFERRED QUALIFICATIONS

Current Procedural Terminology (CPT) coding experience in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Certified Senior Radiation Oncology Coder Remote - Banner Health
Posted: Oct 22, 2022 07:22
Charlotte, NC

Job Description

Primary City/State:

Mesa, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$23.37/hr - $35.06/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Schedule : Monday - Friday 8:00am - 4:30pm (AZ time zone with flexible zone)

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you're looking to leverage your abilities - you belong at Banner Health.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

Be part of a group of highly diverse team members with a vast amount of expertise and experience. As a key component of the Revenue Cycle, we pride themselves on accuracy and accountability. We strive to ensure that all team members are fully supported in their career with Banner by providing a multitude of educational opportunities.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position evaluates medical records and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines for professional and technical Radiation Oncology services.

CORE FUNCTIONS

  1. Analyzes medical information from medical records. Accurately codes diagnostic and charge procedural and supply information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges.

  2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment.

  3. Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.

  4. Work all assigned billing edits related to radiation oncology professional or technical claims within Thrive claims.

  5. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.

  6. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT and MS-DRG codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

MINIMUM QUALIFICATIONS

Associate's degree or technical degree or equivalent working knowledge.

Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders Significant experience, typically gained through four plus years relevant work experience providing coding services within a broad range of health care facilities. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring facility according to pre-established company standards.

Must be able to work effectively with common office software and coding software and abstracting systems. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Radiation Oncology Certified Coder ROCC) in an active status is required.

PREFERRED QUALIFICATIONS

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred. Will consider experience in lieu of certification/degree.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Revenue Integrity Supervisor OP Infusion and WIS - Banner Health
Posted: Oct 22, 2022 07:22
Gary, IN

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$26.64/hr - $44.40/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it. We have teams comprised of Charge Capture, Pre-bill, Post-bill and Monitoring (Auditing). RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement

The Revenue Integrity Supervisor is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of the team ensuring timely, accurate revenue resulting from hospital services.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of charge specialists ensuring timely and accurate charge capture and correction of revenue resulting from hospital services.

CORE FUNCTIONS

  1. Hires, trains, conducts performance evaluations, and supervises the workflow for designated charge staff within department. This includes initiating promotions, transfers, and disciplinary actions. This includes establishing priorities, workloads, controls and work procedures, as well as determines resources needed. Provides oversight and coordination for charge staff who have direct reporting lines to operational leaders.

  2. Gathers data from various sources to document and analyze statistics and financial information necessary to complete projects in assigned area. Generates various monthly or bi-weekly financial reports or ad hoc reports that enable management to control and analyze operations.

  3. Works with management and staff of various departments to assist with financial data gathering and/or interpretation. Ensures accuracy of financial information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial reporting.

  4. Works with other analysts to manage key financial processes within the organization (including operating budgets, forecasts program reporting and analysis, charge management, cost accounting, decision support and reimbursement analysis).

  5. Provides financial modeling resources for special projects assigned to the department by management for analysis.

  6. Prepares timely and accurate reports and presentations for state and federal agencies, administration and corporate to satisfy mandated reporting requirements policy, law or management. Maintains accurate statistical, contractual or other financial databases, as assigned.

  7. May serve as Cost Center/Program CFO (as assigned), which includes the initiation and assistance in identification and implementation of operating improvements and efficiencies by identifying important trends and variances through the review of management reports and financial analysis. Educates users of the assigned financial reporting system on the utilization of reports and the functionality of those reports.

  8. Works with management and staff of various departments to assist with data gathering and/or interpretation. Ensures accuracy of information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial and other business reporting purposes.

  9. Provides leadership, direction and training for staff reporting to operation leaders; audits and resolves work process problems. Uses specialized knowledge to analyze information and solve business problems. Works independently under general supervision. Provides management with accurate and timely information necessary to effectively manage financial operations for revenues in excess of $300m annually. Consults internally with Department Directors, Administration, Data Operations, Financial Services Department Personnel and Banner Health System personnel. Works with State governmental agencies, colleagues as other healthcare facilities, professional organizations and outside vendors.

MINIMUM QUALIFICATIONS

Requires a Bachelor's degree in Accounting, Finance or Business Administration or equivalent experience.

Requires a proficiency level typically attained with 3 to 4 years of experience in healthcare financial management/analysis work. Must have excellent analytical and organizational skills and the ability to manage multiple priorities with changing needs and deadlines. Requires excellent human relations skills and the ability to effectively interact and communicate both verbally and in writing with all levels staff and outside professionals.

Requires strong abilities in statistical analysis, data interpretation, computer software applications, database and spreadsheet programs, plus a proficiency in financial modeling techniques to generate management reports, projections, allocations, and analyses.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Revenue Integrity Supervisor OP Infusion and WIS - Banner Health
Posted: Oct 22, 2022 07:22
Orlando, FL

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$26.64/hr - $44.40/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it. We have teams comprised of Charge Capture, Pre-bill, Post-bill and Monitoring (Auditing). RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement

The Revenue Integrity Supervisor is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of the team ensuring timely, accurate revenue resulting from hospital services.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of charge specialists ensuring timely and accurate charge capture and correction of revenue resulting from hospital services.

CORE FUNCTIONS

  1. Hires, trains, conducts performance evaluations, and supervises the workflow for designated charge staff within department. This includes initiating promotions, transfers, and disciplinary actions. This includes establishing priorities, workloads, controls and work procedures, as well as determines resources needed. Provides oversight and coordination for charge staff who have direct reporting lines to operational leaders.

  2. Gathers data from various sources to document and analyze statistics and financial information necessary to complete projects in assigned area. Generates various monthly or bi-weekly financial reports or ad hoc reports that enable management to control and analyze operations.

  3. Works with management and staff of various departments to assist with financial data gathering and/or interpretation. Ensures accuracy of financial information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial reporting.

  4. Works with other analysts to manage key financial processes within the organization (including operating budgets, forecasts program reporting and analysis, charge management, cost accounting, decision support and reimbursement analysis).

  5. Provides financial modeling resources for special projects assigned to the department by management for analysis.

  6. Prepares timely and accurate reports and presentations for state and federal agencies, administration and corporate to satisfy mandated reporting requirements policy, law or management. Maintains accurate statistical, contractual or other financial databases, as assigned.

  7. May serve as Cost Center/Program CFO (as assigned), which includes the initiation and assistance in identification and implementation of operating improvements and efficiencies by identifying important trends and variances through the review of management reports and financial analysis. Educates users of the assigned financial reporting system on the utilization of reports and the functionality of those reports.

  8. Works with management and staff of various departments to assist with data gathering and/or interpretation. Ensures accuracy of information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial and other business reporting purposes.

  9. Provides leadership, direction and training for staff reporting to operation leaders; audits and resolves work process problems. Uses specialized knowledge to analyze information and solve business problems. Works independently under general supervision. Provides management with accurate and timely information necessary to effectively manage financial operations for revenues in excess of $300m annually. Consults internally with Department Directors, Administration, Data Operations, Financial Services Department Personnel and Banner Health System personnel. Works with State governmental agencies, colleagues as other healthcare facilities, professional organizations and outside vendors.

MINIMUM QUALIFICATIONS

Requires a Bachelor's degree in Accounting, Finance or Business Administration or equivalent experience.

Requires a proficiency level typically attained with 3 to 4 years of experience in healthcare financial management/analysis work. Must have excellent analytical and organizational skills and the ability to manage multiple priorities with changing needs and deadlines. Requires excellent human relations skills and the ability to effectively interact and communicate both verbally and in writing with all levels staff and outside professionals.

Requires strong abilities in statistical analysis, data interpretation, computer software applications, database and spreadsheet programs, plus a proficiency in financial modeling techniques to generate management reports, projections, allocations, and analyses.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Charge Specialist OR and Endo Remote - Banner Health
Posted: Oct 22, 2022 07:22
Orlando, FL

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$19.23/hr - $28.84/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

This is a very self-managed team that is focused on ensuring daily goals are met with extreme accuracy and speed. In this Charge Specialist you will be able to use use your attention to detail to audit and discover areas for corrections. You will be capturing charges for Observation, working through documentation, and ensuring that orders are accurate and ready for submittal. This is a great position if you are self-managed and desire a flexible schedule.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position assigns appropriate billing codes for an acute care, periop, or outpatient unit(s), clinic(s) or medical office(s) system-wide. Evaluates medical records, provider notes and dictation to determine appropriate procedure codes to assign to patient records and bills. Uses coding software and the company's Charge Description Master (CDM) to create billings and charges for insurers, government agencies and other payors.

CORE FUNCTIONS

  1. Reviews patient records, dictated report(s), physician/provider notes. Uses a standard listing of procedures/charge codes and/or an automated system with the company's programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).

  2. Identifies opportunities for improvement in clinical documentation. Shares that information with the appropriate Revenue Integrity staff. Maintains a current knowledge of procedural terminology requirements and documentation requirements.

  3. Works with other point of service charging/coding staff to maintain consistency in practice across the system.

  4. Works as a member of the system team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support.

  5. Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on business goal attainment. Customers include physicians, nurses, physician office staff, third party payors, central billing staff, staff from other departments and patients/patient families.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires a level of knowledge normally gained over two or more years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.

Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.

PREFERRED QUALIFICATIONS

Current Procedural Terminology (CPT) coding experience in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Certified Senior Radiation Oncology Coder Remote - Banner Health
Posted: Oct 22, 2022 07:22
Orlando, FL

Job Description

Primary City/State:

Mesa, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$23.37/hr - $35.06/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Schedule : Monday - Friday 8:00am - 4:30pm (AZ time zone with flexible zone)

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you're looking to leverage your abilities - you belong at Banner Health.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

Be part of a group of highly diverse team members with a vast amount of expertise and experience. As a key component of the Revenue Cycle, we pride themselves on accuracy and accountability. We strive to ensure that all team members are fully supported in their career with Banner by providing a multitude of educational opportunities.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position evaluates medical records and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines for professional and technical Radiation Oncology services.

CORE FUNCTIONS

  1. Analyzes medical information from medical records. Accurately codes diagnostic and charge procedural and supply information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges.

  2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment.

  3. Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.

  4. Work all assigned billing edits related to radiation oncology professional or technical claims within Thrive claims.

  5. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.

  6. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT and MS-DRG codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

MINIMUM QUALIFICATIONS

Associate's degree or technical degree or equivalent working knowledge.

Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders Significant experience, typically gained through four plus years relevant work experience providing coding services within a broad range of health care facilities. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring facility according to pre-established company standards.

Must be able to work effectively with common office software and coding software and abstracting systems. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Radiation Oncology Certified Coder ROCC) in an active status is required.

PREFERRED QUALIFICATIONS

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred. Will consider experience in lieu of certification/degree.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Revenue Integrity Supervisor OP Infusion and WIS - Banner Health
Posted: Oct 22, 2022 07:22
Cincinnati, OH

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$26.64/hr - $44.40/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it. We have teams comprised of Charge Capture, Pre-bill, Post-bill and Monitoring (Auditing). RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement

The Revenue Integrity Supervisor is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of the team ensuring timely, accurate revenue resulting from hospital services.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of charge specialists ensuring timely and accurate charge capture and correction of revenue resulting from hospital services.

CORE FUNCTIONS

  1. Hires, trains, conducts performance evaluations, and supervises the workflow for designated charge staff within department. This includes initiating promotions, transfers, and disciplinary actions. This includes establishing priorities, workloads, controls and work procedures, as well as determines resources needed. Provides oversight and coordination for charge staff who have direct reporting lines to operational leaders.

  2. Gathers data from various sources to document and analyze statistics and financial information necessary to complete projects in assigned area. Generates various monthly or bi-weekly financial reports or ad hoc reports that enable management to control and analyze operations.

  3. Works with management and staff of various departments to assist with financial data gathering and/or interpretation. Ensures accuracy of financial information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial reporting.

  4. Works with other analysts to manage key financial processes within the organization (including operating budgets, forecasts program reporting and analysis, charge management, cost accounting, decision support and reimbursement analysis).

  5. Provides financial modeling resources for special projects assigned to the department by management for analysis.

  6. Prepares timely and accurate reports and presentations for state and federal agencies, administration and corporate to satisfy mandated reporting requirements policy, law or management. Maintains accurate statistical, contractual or other financial databases, as assigned.

  7. May serve as Cost Center/Program CFO (as assigned), which includes the initiation and assistance in identification and implementation of operating improvements and efficiencies by identifying important trends and variances through the review of management reports and financial analysis. Educates users of the assigned financial reporting system on the utilization of reports and the functionality of those reports.

  8. Works with management and staff of various departments to assist with data gathering and/or interpretation. Ensures accuracy of information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial and other business reporting purposes.

  9. Provides leadership, direction and training for staff reporting to operation leaders; audits and resolves work process problems. Uses specialized knowledge to analyze information and solve business problems. Works independently under general supervision. Provides management with accurate and timely information necessary to effectively manage financial operations for revenues in excess of $300m annually. Consults internally with Department Directors, Administration, Data Operations, Financial Services Department Personnel and Banner Health System personnel. Works with State governmental agencies, colleagues as other healthcare facilities, professional organizations and outside vendors.

MINIMUM QUALIFICATIONS

Requires a Bachelor's degree in Accounting, Finance or Business Administration or equivalent experience.

Requires a proficiency level typically attained with 3 to 4 years of experience in healthcare financial management/analysis work. Must have excellent analytical and organizational skills and the ability to manage multiple priorities with changing needs and deadlines. Requires excellent human relations skills and the ability to effectively interact and communicate both verbally and in writing with all levels staff and outside professionals.

Requires strong abilities in statistical analysis, data interpretation, computer software applications, database and spreadsheet programs, plus a proficiency in financial modeling techniques to generate management reports, projections, allocations, and analyses.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Charge Specialist OR and Endo Remote - Banner Health
Posted: Oct 22, 2022 07:22
Cincinnati, OH

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$19.23/hr - $28.84/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

This is a very self-managed team that is focused on ensuring daily goals are met with extreme accuracy and speed. In this Charge Specialist you will be able to use use your attention to detail to audit and discover areas for corrections. You will be capturing charges for Observation, working through documentation, and ensuring that orders are accurate and ready for submittal. This is a great position if you are self-managed and desire a flexible schedule.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position assigns appropriate billing codes for an acute care, periop, or outpatient unit(s), clinic(s) or medical office(s) system-wide. Evaluates medical records, provider notes and dictation to determine appropriate procedure codes to assign to patient records and bills. Uses coding software and the company's Charge Description Master (CDM) to create billings and charges for insurers, government agencies and other payors.

CORE FUNCTIONS

  1. Reviews patient records, dictated report(s), physician/provider notes. Uses a standard listing of procedures/charge codes and/or an automated system with the company's programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).

  2. Identifies opportunities for improvement in clinical documentation. Shares that information with the appropriate Revenue Integrity staff. Maintains a current knowledge of procedural terminology requirements and documentation requirements.

  3. Works with other point of service charging/coding staff to maintain consistency in practice across the system.

  4. Works as a member of the system team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support.

  5. Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on business goal attainment. Customers include physicians, nurses, physician office staff, third party payors, central billing staff, staff from other departments and patients/patient families.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires a level of knowledge normally gained over two or more years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.

Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.

PREFERRED QUALIFICATIONS

Current Procedural Terminology (CPT) coding experience in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Certified Senior Radiation Oncology Coder Remote - Banner Health
Posted: Oct 22, 2022 07:22
North Wales, PA

Job Description

Primary City/State:

Mesa, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$23.37/hr - $35.06/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Schedule : Monday - Friday 8:00am - 4:30pm (AZ time zone with flexible zone)

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you're looking to leverage your abilities - you belong at Banner Health.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

Be part of a group of highly diverse team members with a vast amount of expertise and experience. As a key component of the Revenue Cycle, we pride themselves on accuracy and accountability. We strive to ensure that all team members are fully supported in their career with Banner by providing a multitude of educational opportunities.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position evaluates medical records and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines for professional and technical Radiation Oncology services.

CORE FUNCTIONS

  1. Analyzes medical information from medical records. Accurately codes diagnostic and charge procedural and supply information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges.

  2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment.

  3. Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.

  4. Work all assigned billing edits related to radiation oncology professional or technical claims within Thrive claims.

  5. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.

  6. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT and MS-DRG codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

MINIMUM QUALIFICATIONS

Associate's degree or technical degree or equivalent working knowledge.

Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders Significant experience, typically gained through four plus years relevant work experience providing coding services within a broad range of health care facilities. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring facility according to pre-established company standards.

Must be able to work effectively with common office software and coding software and abstracting systems. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Radiation Oncology Certified Coder ROCC) in an active status is required.

PREFERRED QUALIFICATIONS

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred. Will consider experience in lieu of certification/degree.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Certified Senior Radiation Oncology Coder Remote - Banner Health
Posted: Oct 22, 2022 07:22
Cincinnati, OH

Job Description

Primary City/State:

Mesa, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$23.37/hr - $35.06/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Schedule : Monday - Friday 8:00am - 4:30pm (AZ time zone with flexible zone)

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you're looking to leverage your abilities - you belong at Banner Health.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

Be part of a group of highly diverse team members with a vast amount of expertise and experience. As a key component of the Revenue Cycle, we pride themselves on accuracy and accountability. We strive to ensure that all team members are fully supported in their career with Banner by providing a multitude of educational opportunities.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position evaluates medical records and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines for professional and technical Radiation Oncology services.

CORE FUNCTIONS

  1. Analyzes medical information from medical records. Accurately codes diagnostic and charge procedural and supply information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges.

  2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment.

  3. Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.

  4. Work all assigned billing edits related to radiation oncology professional or technical claims within Thrive claims.

  5. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.

  6. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT and MS-DRG codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

MINIMUM QUALIFICATIONS

Associate's degree or technical degree or equivalent working knowledge.

Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders Significant experience, typically gained through four plus years relevant work experience providing coding services within a broad range of health care facilities. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring facility according to pre-established company standards.

Must be able to work effectively with common office software and coding software and abstracting systems. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Radiation Oncology Certified Coder ROCC) in an active status is required.

PREFERRED QUALIFICATIONS

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred. Will consider experience in lieu of certification/degree.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Charge Specialist OR and Endo Remote - Banner Health
Posted: Oct 22, 2022 07:22
North Wales, PA

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$19.23/hr - $28.84/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

This is a very self-managed team that is focused on ensuring daily goals are met with extreme accuracy and speed. In this Charge Specialist you will be able to use use your attention to detail to audit and discover areas for corrections. You will be capturing charges for Observation, working through documentation, and ensuring that orders are accurate and ready for submittal. This is a great position if you are self-managed and desire a flexible schedule.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position assigns appropriate billing codes for an acute care, periop, or outpatient unit(s), clinic(s) or medical office(s) system-wide. Evaluates medical records, provider notes and dictation to determine appropriate procedure codes to assign to patient records and bills. Uses coding software and the company's Charge Description Master (CDM) to create billings and charges for insurers, government agencies and other payors.

CORE FUNCTIONS

  1. Reviews patient records, dictated report(s), physician/provider notes. Uses a standard listing of procedures/charge codes and/or an automated system with the company's programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).

  2. Identifies opportunities for improvement in clinical documentation. Shares that information with the appropriate Revenue Integrity staff. Maintains a current knowledge of procedural terminology requirements and documentation requirements.

  3. Works with other point of service charging/coding staff to maintain consistency in practice across the system.

  4. Works as a member of the system team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support.

  5. Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on business goal attainment. Customers include physicians, nurses, physician office staff, third party payors, central billing staff, staff from other departments and patients/patient families.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires a level of knowledge normally gained over two or more years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.

Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.

PREFERRED QUALIFICATIONS

Current Procedural Terminology (CPT) coding experience in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Revenue Integrity Supervisor OP Infusion and WIS - Banner Health
Posted: Oct 22, 2022 07:22
North Wales, PA

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$26.64/hr - $44.40/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it. We have teams comprised of Charge Capture, Pre-bill, Post-bill and Monitoring (Auditing). RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement

The Revenue Integrity Supervisor is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of the team ensuring timely, accurate revenue resulting from hospital services.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of charge specialists ensuring timely and accurate charge capture and correction of revenue resulting from hospital services.

CORE FUNCTIONS

  1. Hires, trains, conducts performance evaluations, and supervises the workflow for designated charge staff within department. This includes initiating promotions, transfers, and disciplinary actions. This includes establishing priorities, workloads, controls and work procedures, as well as determines resources needed. Provides oversight and coordination for charge staff who have direct reporting lines to operational leaders.

  2. Gathers data from various sources to document and analyze statistics and financial information necessary to complete projects in assigned area. Generates various monthly or bi-weekly financial reports or ad hoc reports that enable management to control and analyze operations.

  3. Works with management and staff of various departments to assist with financial data gathering and/or interpretation. Ensures accuracy of financial information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial reporting.

  4. Works with other analysts to manage key financial processes within the organization (including operating budgets, forecasts program reporting and analysis, charge management, cost accounting, decision support and reimbursement analysis).

  5. Provides financial modeling resources for special projects assigned to the department by management for analysis.

  6. Prepares timely and accurate reports and presentations for state and federal agencies, administration and corporate to satisfy mandated reporting requirements policy, law or management. Maintains accurate statistical, contractual or other financial databases, as assigned.

  7. May serve as Cost Center/Program CFO (as assigned), which includes the initiation and assistance in identification and implementation of operating improvements and efficiencies by identifying important trends and variances through the review of management reports and financial analysis. Educates users of the assigned financial reporting system on the utilization of reports and the functionality of those reports.

  8. Works with management and staff of various departments to assist with data gathering and/or interpretation. Ensures accuracy of information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial and other business reporting purposes.

  9. Provides leadership, direction and training for staff reporting to operation leaders; audits and resolves work process problems. Uses specialized knowledge to analyze information and solve business problems. Works independently under general supervision. Provides management with accurate and timely information necessary to effectively manage financial operations for revenues in excess of $300m annually. Consults internally with Department Directors, Administration, Data Operations, Financial Services Department Personnel and Banner Health System personnel. Works with State governmental agencies, colleagues as other healthcare facilities, professional organizations and outside vendors.

MINIMUM QUALIFICATIONS

Requires a Bachelor's degree in Accounting, Finance or Business Administration or equivalent experience.

Requires a proficiency level typically attained with 3 to 4 years of experience in healthcare financial management/analysis work. Must have excellent analytical and organizational skills and the ability to manage multiple priorities with changing needs and deadlines. Requires excellent human relations skills and the ability to effectively interact and communicate both verbally and in writing with all levels staff and outside professionals.

Requires strong abilities in statistical analysis, data interpretation, computer software applications, database and spreadsheet programs, plus a proficiency in financial modeling techniques to generate management reports, projections, allocations, and analyses.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Certified Senior Radiation Oncology Coder Remote - Banner Health
Posted: Oct 22, 2022 07:22
Little Rock, AR

Job Description

Primary City/State:

Mesa, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$23.37/hr - $35.06/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Schedule : Monday - Friday 8:00am - 4:30pm (AZ time zone with flexible zone)

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you're looking to leverage your abilities - you belong at Banner Health.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

Be part of a group of highly diverse team members with a vast amount of expertise and experience. As a key component of the Revenue Cycle, we pride themselves on accuracy and accountability. We strive to ensure that all team members are fully supported in their career with Banner by providing a multitude of educational opportunities.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position evaluates medical records and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines for professional and technical Radiation Oncology services.

CORE FUNCTIONS

  1. Analyzes medical information from medical records. Accurately codes diagnostic and charge procedural and supply information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges.

  2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment.

  3. Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.

  4. Work all assigned billing edits related to radiation oncology professional or technical claims within Thrive claims.

  5. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.

  6. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT and MS-DRG codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

MINIMUM QUALIFICATIONS

Associate's degree or technical degree or equivalent working knowledge.

Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders Significant experience, typically gained through four plus years relevant work experience providing coding services within a broad range of health care facilities. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring facility according to pre-established company standards.

Must be able to work effectively with common office software and coding software and abstracting systems. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Radiation Oncology Certified Coder ROCC) in an active status is required.

PREFERRED QUALIFICATIONS

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred. Will consider experience in lieu of certification/degree.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Charge Specialist OR and Endo Remote - Banner Health
Posted: Oct 22, 2022 07:22
Little Rock, AR

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$19.23/hr - $28.84/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

This is a very self-managed team that is focused on ensuring daily goals are met with extreme accuracy and speed. In this Charge Specialist you will be able to use use your attention to detail to audit and discover areas for corrections. You will be capturing charges for Observation, working through documentation, and ensuring that orders are accurate and ready for submittal. This is a great position if you are self-managed and desire a flexible schedule.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position assigns appropriate billing codes for an acute care, periop, or outpatient unit(s), clinic(s) or medical office(s) system-wide. Evaluates medical records, provider notes and dictation to determine appropriate procedure codes to assign to patient records and bills. Uses coding software and the company's Charge Description Master (CDM) to create billings and charges for insurers, government agencies and other payors.

CORE FUNCTIONS

  1. Reviews patient records, dictated report(s), physician/provider notes. Uses a standard listing of procedures/charge codes and/or an automated system with the company's programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).

  2. Identifies opportunities for improvement in clinical documentation. Shares that information with the appropriate Revenue Integrity staff. Maintains a current knowledge of procedural terminology requirements and documentation requirements.

  3. Works with other point of service charging/coding staff to maintain consistency in practice across the system.

  4. Works as a member of the system team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support.

  5. Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on business goal attainment. Customers include physicians, nurses, physician office staff, third party payors, central billing staff, staff from other departments and patients/patient families.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires a level of knowledge normally gained over two or more years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.

Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.

PREFERRED QUALIFICATIONS

Current Procedural Terminology (CPT) coding experience in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Revenue Integrity Supervisor OP Infusion and WIS - Banner Health
Posted: Oct 22, 2022 07:22
Little Rock, AR

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$26.64/hr - $44.40/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it. We have teams comprised of Charge Capture, Pre-bill, Post-bill and Monitoring (Auditing). RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement

The Revenue Integrity Supervisor is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of the team ensuring timely, accurate revenue resulting from hospital services.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of charge specialists ensuring timely and accurate charge capture and correction of revenue resulting from hospital services.

CORE FUNCTIONS

  1. Hires, trains, conducts performance evaluations, and supervises the workflow for designated charge staff within department. This includes initiating promotions, transfers, and disciplinary actions. This includes establishing priorities, workloads, controls and work procedures, as well as determines resources needed. Provides oversight and coordination for charge staff who have direct reporting lines to operational leaders.

  2. Gathers data from various sources to document and analyze statistics and financial information necessary to complete projects in assigned area. Generates various monthly or bi-weekly financial reports or ad hoc reports that enable management to control and analyze operations.

  3. Works with management and staff of various departments to assist with financial data gathering and/or interpretation. Ensures accuracy of financial information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial reporting.

  4. Works with other analysts to manage key financial processes within the organization (including operating budgets, forecasts program reporting and analysis, charge management, cost accounting, decision support and reimbursement analysis).

  5. Provides financial modeling resources for special projects assigned to the department by management for analysis.

  6. Prepares timely and accurate reports and presentations for state and federal agencies, administration and corporate to satisfy mandated reporting requirements policy, law or management. Maintains accurate statistical, contractual or other financial databases, as assigned.

  7. May serve as Cost Center/Program CFO (as assigned), which includes the initiation and assistance in identification and implementation of operating improvements and efficiencies by identifying important trends and variances through the review of management reports and financial analysis. Educates users of the assigned financial reporting system on the utilization of reports and the functionality of those reports.

  8. Works with management and staff of various departments to assist with data gathering and/or interpretation. Ensures accuracy of information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial and other business reporting purposes.

  9. Provides leadership, direction and training for staff reporting to operation leaders; audits and resolves work process problems. Uses specialized knowledge to analyze information and solve business problems. Works independently under general supervision. Provides management with accurate and timely information necessary to effectively manage financial operations for revenues in excess of $300m annually. Consults internally with Department Directors, Administration, Data Operations, Financial Services Department Personnel and Banner Health System personnel. Works with State governmental agencies, colleagues as other healthcare facilities, professional organizations and outside vendors.

MINIMUM QUALIFICATIONS

Requires a Bachelor's degree in Accounting, Finance or Business Administration or equivalent experience.

Requires a proficiency level typically attained with 3 to 4 years of experience in healthcare financial management/analysis work. Must have excellent analytical and organizational skills and the ability to manage multiple priorities with changing needs and deadlines. Requires excellent human relations skills and the ability to effectively interact and communicate both verbally and in writing with all levels staff and outside professionals.

Requires strong abilities in statistical analysis, data interpretation, computer software applications, database and spreadsheet programs, plus a proficiency in financial modeling techniques to generate management reports, projections, allocations, and analyses.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Charge Specialist OR and Endo Remote - Banner Health
Posted: Oct 22, 2022 07:22
Des Moines, IA

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$19.23/hr - $28.84/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

This is a very self-managed team that is focused on ensuring daily goals are met with extreme accuracy and speed. In this Charge Specialist you will be able to use use your attention to detail to audit and discover areas for corrections. You will be capturing charges for Observation, working through documentation, and ensuring that orders are accurate and ready for submittal. This is a great position if you are self-managed and desire a flexible schedule.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position assigns appropriate billing codes for an acute care, periop, or outpatient unit(s), clinic(s) or medical office(s) system-wide. Evaluates medical records, provider notes and dictation to determine appropriate procedure codes to assign to patient records and bills. Uses coding software and the company's Charge Description Master (CDM) to create billings and charges for insurers, government agencies and other payors.

CORE FUNCTIONS

  1. Reviews patient records, dictated report(s), physician/provider notes. Uses a standard listing of procedures/charge codes and/or an automated system with the company's programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).

  2. Identifies opportunities for improvement in clinical documentation. Shares that information with the appropriate Revenue Integrity staff. Maintains a current knowledge of procedural terminology requirements and documentation requirements.

  3. Works with other point of service charging/coding staff to maintain consistency in practice across the system.

  4. Works as a member of the system team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support.

  5. Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on business goal attainment. Customers include physicians, nurses, physician office staff, third party payors, central billing staff, staff from other departments and patients/patient families.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires a level of knowledge normally gained over two or more years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.

Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.

PREFERRED QUALIFICATIONS

Current Procedural Terminology (CPT) coding experience in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Revenue Integrity Supervisor OP Infusion and WIS - Banner Health
Posted: Oct 22, 2022 07:22
Des Moines, IA

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$26.64/hr - $44.40/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it. We have teams comprised of Charge Capture, Pre-bill, Post-bill and Monitoring (Auditing). RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement

The Revenue Integrity Supervisor is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of the team ensuring timely, accurate revenue resulting from hospital services.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of charge specialists ensuring timely and accurate charge capture and correction of revenue resulting from hospital services.

CORE FUNCTIONS

  1. Hires, trains, conducts performance evaluations, and supervises the workflow for designated charge staff within department. This includes initiating promotions, transfers, and disciplinary actions. This includes establishing priorities, workloads, controls and work procedures, as well as determines resources needed. Provides oversight and coordination for charge staff who have direct reporting lines to operational leaders.

  2. Gathers data from various sources to document and analyze statistics and financial information necessary to complete projects in assigned area. Generates various monthly or bi-weekly financial reports or ad hoc reports that enable management to control and analyze operations.

  3. Works with management and staff of various departments to assist with financial data gathering and/or interpretation. Ensures accuracy of financial information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial reporting.

  4. Works with other analysts to manage key financial processes within the organization (including operating budgets, forecasts program reporting and analysis, charge management, cost accounting, decision support and reimbursement analysis).

  5. Provides financial modeling resources for special projects assigned to the department by management for analysis.

  6. Prepares timely and accurate reports and presentations for state and federal agencies, administration and corporate to satisfy mandated reporting requirements policy, law or management. Maintains accurate statistical, contractual or other financial databases, as assigned.

  7. May serve as Cost Center/Program CFO (as assigned), which includes the initiation and assistance in identification and implementation of operating improvements and efficiencies by identifying important trends and variances through the review of management reports and financial analysis. Educates users of the assigned financial reporting system on the utilization of reports and the functionality of those reports.

  8. Works with management and staff of various departments to assist with data gathering and/or interpretation. Ensures accuracy of information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial and other business reporting purposes.

  9. Provides leadership, direction and training for staff reporting to operation leaders; audits and resolves work process problems. Uses specialized knowledge to analyze information and solve business problems. Works independently under general supervision. Provides management with accurate and timely information necessary to effectively manage financial operations for revenues in excess of $300m annually. Consults internally with Department Directors, Administration, Data Operations, Financial Services Department Personnel and Banner Health System personnel. Works with State governmental agencies, colleagues as other healthcare facilities, professional organizations and outside vendors.

MINIMUM QUALIFICATIONS

Requires a Bachelor's degree in Accounting, Finance or Business Administration or equivalent experience.

Requires a proficiency level typically attained with 3 to 4 years of experience in healthcare financial management/analysis work. Must have excellent analytical and organizational skills and the ability to manage multiple priorities with changing needs and deadlines. Requires excellent human relations skills and the ability to effectively interact and communicate both verbally and in writing with all levels staff and outside professionals.

Requires strong abilities in statistical analysis, data interpretation, computer software applications, database and spreadsheet programs, plus a proficiency in financial modeling techniques to generate management reports, projections, allocations, and analyses.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Certified Senior Radiation Oncology Coder Remote - Banner Health
Posted: Oct 22, 2022 07:22
Des Moines, IA

Job Description

Primary City/State:

Mesa, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$23.37/hr - $35.06/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Schedule : Monday - Friday 8:00am - 4:30pm (AZ time zone with flexible zone)

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you're looking to leverage your abilities - you belong at Banner Health.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

Be part of a group of highly diverse team members with a vast amount of expertise and experience. As a key component of the Revenue Cycle, we pride themselves on accuracy and accountability. We strive to ensure that all team members are fully supported in their career with Banner by providing a multitude of educational opportunities.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position evaluates medical records and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines for professional and technical Radiation Oncology services.

CORE FUNCTIONS

  1. Analyzes medical information from medical records. Accurately codes diagnostic and charge procedural and supply information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges.

  2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment.

  3. Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.

  4. Work all assigned billing edits related to radiation oncology professional or technical claims within Thrive claims.

  5. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.

  6. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT and MS-DRG codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

MINIMUM QUALIFICATIONS

Associate's degree or technical degree or equivalent working knowledge.

Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders Significant experience, typically gained through four plus years relevant work experience providing coding services within a broad range of health care facilities. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring facility according to pre-established company standards.

Must be able to work effectively with common office software and coding software and abstracting systems. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Radiation Oncology Certified Coder ROCC) in an active status is required.

PREFERRED QUALIFICATIONS

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred. Will consider experience in lieu of certification/degree.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Revenue Integrity Supervisor OP Infusion and WIS - Banner Health
Posted: Oct 22, 2022 07:22
Dallas, TX

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$26.64/hr - $44.40/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it. We have teams comprised of Charge Capture, Pre-bill, Post-bill and Monitoring (Auditing). RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement

The Revenue Integrity Supervisor is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of the team ensuring timely, accurate revenue resulting from hospital services.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of charge specialists ensuring timely and accurate charge capture and correction of revenue resulting from hospital services.

CORE FUNCTIONS

  1. Hires, trains, conducts performance evaluations, and supervises the workflow for designated charge staff within department. This includes initiating promotions, transfers, and disciplinary actions. This includes establishing priorities, workloads, controls and work procedures, as well as determines resources needed. Provides oversight and coordination for charge staff who have direct reporting lines to operational leaders.

  2. Gathers data from various sources to document and analyze statistics and financial information necessary to complete projects in assigned area. Generates various monthly or bi-weekly financial reports or ad hoc reports that enable management to control and analyze operations.

  3. Works with management and staff of various departments to assist with financial data gathering and/or interpretation. Ensures accuracy of financial information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial reporting.

  4. Works with other analysts to manage key financial processes within the organization (including operating budgets, forecasts program reporting and analysis, charge management, cost accounting, decision support and reimbursement analysis).

  5. Provides financial modeling resources for special projects assigned to the department by management for analysis.

  6. Prepares timely and accurate reports and presentations for state and federal agencies, administration and corporate to satisfy mandated reporting requirements policy, law or management. Maintains accurate statistical, contractual or other financial databases, as assigned.

  7. May serve as Cost Center/Program CFO (as assigned), which includes the initiation and assistance in identification and implementation of operating improvements and efficiencies by identifying important trends and variances through the review of management reports and financial analysis. Educates users of the assigned financial reporting system on the utilization of reports and the functionality of those reports.

  8. Works with management and staff of various departments to assist with data gathering and/or interpretation. Ensures accuracy of information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial and other business reporting purposes.

  9. Provides leadership, direction and training for staff reporting to operation leaders; audits and resolves work process problems. Uses specialized knowledge to analyze information and solve business problems. Works independently under general supervision. Provides management with accurate and timely information necessary to effectively manage financial operations for revenues in excess of $300m annually. Consults internally with Department Directors, Administration, Data Operations, Financial Services Department Personnel and Banner Health System personnel. Works with State governmental agencies, colleagues as other healthcare facilities, professional organizations and outside vendors.

MINIMUM QUALIFICATIONS

Requires a Bachelor's degree in Accounting, Finance or Business Administration or equivalent experience.

Requires a proficiency level typically attained with 3 to 4 years of experience in healthcare financial management/analysis work. Must have excellent analytical and organizational skills and the ability to manage multiple priorities with changing needs and deadlines. Requires excellent human relations skills and the ability to effectively interact and communicate both verbally and in writing with all levels staff and outside professionals.

Requires strong abilities in statistical analysis, data interpretation, computer software applications, database and spreadsheet programs, plus a proficiency in financial modeling techniques to generate management reports, projections, allocations, and analyses.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Charge Specialist OR and Endo Remote - Banner Health
Posted: Oct 22, 2022 07:22
Dallas, TX

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$19.23/hr - $28.84/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

This is a very self-managed team that is focused on ensuring daily goals are met with extreme accuracy and speed. In this Charge Specialist you will be able to use use your attention to detail to audit and discover areas for corrections. You will be capturing charges for Observation, working through documentation, and ensuring that orders are accurate and ready for submittal. This is a great position if you are self-managed and desire a flexible schedule.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position assigns appropriate billing codes for an acute care, periop, or outpatient unit(s), clinic(s) or medical office(s) system-wide. Evaluates medical records, provider notes and dictation to determine appropriate procedure codes to assign to patient records and bills. Uses coding software and the company's Charge Description Master (CDM) to create billings and charges for insurers, government agencies and other payors.

CORE FUNCTIONS

  1. Reviews patient records, dictated report(s), physician/provider notes. Uses a standard listing of procedures/charge codes and/or an automated system with the company's programmed Healthcare Common Procedure Coding System (HCPCS) for all commonly used Diagnosis Related Groups (DRGs).

  2. Identifies opportunities for improvement in clinical documentation. Shares that information with the appropriate Revenue Integrity staff. Maintains a current knowledge of procedural terminology requirements and documentation requirements.

  3. Works with other point of service charging/coding staff to maintain consistency in practice across the system.

  4. Works as a member of the system team to provide services and achieve goals. As assigned, may manage supply chain functions, scheduling, provide patient services or administrative support.

  5. Works independently under regular supervision. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on business goal attainment. Customers include physicians, nurses, physician office staff, third party payors, central billing staff, staff from other departments and patients/patient families.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires a level of knowledge normally gained over two or more years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area, and have a good understanding of reimbursement methodologies. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities. Requires strong abilities in reading, interpreting and communicating, as well as effective interpersonal skills, organizational skills and team working abilities.

Must be able to work effectively with common office software, coding and billing software, and the electronic medical records system.

PREFERRED QUALIFICATIONS

Current Procedural Terminology (CPT) coding experience in a similar setting and Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) credentials preferred for some assignments.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Certified Senior Radiation Oncology Coder Remote - Banner Health
Posted: Oct 22, 2022 07:22
Dallas, TX

Job Description

Primary City/State:

Mesa, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$23.37/hr - $35.06/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Schedule : Monday - Friday 8:00am - 4:30pm (AZ time zone with flexible zone)

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you're looking to leverage your abilities - you belong at Banner Health.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

Be part of a group of highly diverse team members with a vast amount of expertise and experience. As a key component of the Revenue Cycle, we pride themselves on accuracy and accountability. We strive to ensure that all team members are fully supported in their career with Banner by providing a multitude of educational opportunities.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position evaluates medical records and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines for professional and technical Radiation Oncology services.

CORE FUNCTIONS

  1. Analyzes medical information from medical records. Accurately codes diagnostic and charge procedural and supply information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges.

  2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment.

  3. Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.

  4. Work all assigned billing edits related to radiation oncology professional or technical claims within Thrive claims.

  5. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.

  6. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT and MS-DRG codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

MINIMUM QUALIFICATIONS

Associate's degree or technical degree or equivalent working knowledge.

Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders Significant experience, typically gained through four plus years relevant work experience providing coding services within a broad range of health care facilities. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring facility according to pre-established company standards.

Must be able to work effectively with common office software and coding software and abstracting systems. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Radiation Oncology Certified Coder ROCC) in an active status is required.

PREFERRED QUALIFICATIONS

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred. Will consider experience in lieu of certification/degree.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Certified Senior Radiation Oncology Coder Remote - Banner Health
Posted: Oct 22, 2022 07:22
New York, NY

Job Description

Primary City/State:

Mesa, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$23.37/hr - $35.06/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Schedule : Monday - Friday 8:00am - 4:30pm (AZ time zone with flexible zone)

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you're looking to leverage your abilities - you belong at Banner Health.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it.

Be part of a group of highly diverse team members with a vast amount of expertise and experience. As a key component of the Revenue Cycle, we pride themselves on accuracy and accountability. We strive to ensure that all team members are fully supported in their career with Banner by providing a multitude of educational opportunities.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position evaluates medical records and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines for professional and technical Radiation Oncology services.

CORE FUNCTIONS

  1. Analyzes medical information from medical records. Accurately codes diagnostic and charge procedural and supply information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of ICD and/or CPT4 codes, MS-DRGs, APCs, POAs and reconciliation of charges.

  2. Abstracts clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records. Seeks out missing information and creates complete records, including items such as disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysis, supervisor or individual department for clarification/additional information for accurate code assignment.

  3. Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.

  4. Work all assigned billing edits related to radiation oncology professional or technical claims within Thrive claims.

  5. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.

  6. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of ICD/CPT and MS-DRG codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).

MINIMUM QUALIFICATIONS

Associate's degree or technical degree or equivalent working knowledge.

Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies, and as normally demonstrated by certification by the American Academy of Professional Coders Significant experience, typically gained through four plus years relevant work experience providing coding services within a broad range of health care facilities. Must be able to achieve an acceptable accuracy rate on the coding test administered by the hiring facility according to pre-established company standards.

Must be able to work effectively with common office software and coding software and abstracting systems. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Radiation Oncology Certified Coder ROCC) in an active status is required.

PREFERRED QUALIFICATIONS

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist-Physician (CCS-P) with American Health Information Management Association or American Academy of Professional Coders is preferred. Will consider experience in lieu of certification/degree.

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail

Revenue Integrity Supervisor OP Infusion and WIS - Banner Health
Posted: Oct 22, 2022 07:22
New York, NY

Job Description

Primary City/State:

Phoenix, Arizona

Department Name:

Revenue Integrity-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$26.64/hr - $44.40/hr, based on education & experience

In accordance with Colorado's EPEWA Equal Pay Transparency Rules.

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

Revenue Integrity has become a leading national focus to gain greater visibility for sound financial outcomes/practices, compliance and optimal reimbursement with focus across all continuums of patient care. Revenue Integrity in an integral part of the Revenue Cycle and covers all essentials related to it. We have teams comprised of Charge Capture, Pre-bill, Post-bill and Monitoring (Auditing). RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement

The Revenue Integrity Supervisor is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of the team ensuring timely, accurate revenue resulting from hospital services.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position is responsible for providing coordination and/or collection of relevant financial data to prepare and interpret financial reports for management in an accurate and timely manner. This position provides maintenance/updates as necessary to ensure the integrity of assigned financial systems and databases. This position provides oversight of charge specialists ensuring timely and accurate charge capture and correction of revenue resulting from hospital services.

CORE FUNCTIONS

  1. Hires, trains, conducts performance evaluations, and supervises the workflow for designated charge staff within department. This includes initiating promotions, transfers, and disciplinary actions. This includes establishing priorities, workloads, controls and work procedures, as well as determines resources needed. Provides oversight and coordination for charge staff who have direct reporting lines to operational leaders.

  2. Gathers data from various sources to document and analyze statistics and financial information necessary to complete projects in assigned area. Generates various monthly or bi-weekly financial reports or ad hoc reports that enable management to control and analyze operations.

  3. Works with management and staff of various departments to assist with financial data gathering and/or interpretation. Ensures accuracy of financial information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial reporting.

  4. Works with other analysts to manage key financial processes within the organization (including operating budgets, forecasts program reporting and analysis, charge management, cost accounting, decision support and reimbursement analysis).

  5. Provides financial modeling resources for special projects assigned to the department by management for analysis.

  6. Prepares timely and accurate reports and presentations for state and federal agencies, administration and corporate to satisfy mandated reporting requirements policy, law or management. Maintains accurate statistical, contractual or other financial databases, as assigned.

  7. May serve as Cost Center/Program CFO (as assigned), which includes the initiation and assistance in identification and implementation of operating improvements and efficiencies by identifying important trends and variances through the review of management reports and financial analysis. Educates users of the assigned financial reporting system on the utilization of reports and the functionality of those reports.

  8. Works with management and staff of various departments to assist with data gathering and/or interpretation. Ensures accuracy of information systems and maintenance of reporting. Ensures the integrity of statistical files and databases used for financial and other business reporting purposes.

  9. Provides leadership, direction and training for staff reporting to operation leaders; audits and resolves work process problems. Uses specialized knowledge to analyze information and solve business problems. Works independently under general supervision. Provides management with accurate and timely information necessary to effectively manage financial operations for revenues in excess of $300m annually. Consults internally with Department Directors, Administration, Data Operations, Financial Services Department Personnel and Banner Health System personnel. Works with State governmental agencies, colleagues as other healthcare facilities, professional organizations and outside vendors.

MINIMUM QUALIFICATIONS

Requires a Bachelor's degree in Accounting, Finance or Business Administration or equivalent experience.

Requires a proficiency level typically attained with 3 to 4 years of experience in healthcare financial management/analysis work. Must have excellent analytical and organizational skills and the ability to manage multiple priorities with changing needs and deadlines. Requires excellent human relations skills and the ability to effectively interact and communicate both verbally and in writing with all levels staff and outside professionals.

Requires strong abilities in statistical analysis, data interpretation, computer software applications, database and spreadsheet programs, plus a proficiency in financial modeling techniques to generate management reports, projections, allocations, and analyses.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability



Job Detail