Description
Position: Revenue Compliance Consulant - Remote
Shift: FT Days - 40 hrs per week
We're a Little Different
Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.
At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”
Overview:
The Revenue Compliance Consultant supports the Compliance Program across the Ministry, partnering with Legal, Human Resources and other business units as necessary. The audit process ensures compliance with required protocols, federal and state regulations and laws, Medicare/Medicaid, and Ministry-Wide policies. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.
Qualifications:
Education:Bachelor's Degree in a related field (nursing, HIM, healthcare administration, etc.)
Experience:Six (6) years data analytics experience.
Other Skills and Knowledge:
- Experience in writing reports from Epic and using data to build analytics.
- General understanding and ability to interpret medical records, UB and/or 1500 claim forms, remittance advice, and/or the charge description master (CDM).
- Experienced working knowledge of Microsoft Word, Excel, Power Point, Outlook and Power BI, SQL and Epic.
- Knowledge and experience with rules and regulations pertaining to federally funded programs (e.g. Medicare and Medicaid) along with knowledge of documentation requirements for coding and billing.
- Strong ability to engage/interact with leadership, writing and analysis skills, and autonomous/self-starter.
- Preferred Education:Masters or advanced degree in a related field (nursing, HIM, healthcare administration).
We Offer Great Incentives:
- Benefit Eligibility- Day 1
➤ Health, dental & vision benefits starting day one
➤ 401(k) with employer match starting day one
➤ Education assistance
➤ PTO begins accruing immediately—including a volunteer day!
- Free convenient parking
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