Primary City/State:

Arizona, Arizona

Department Name:

Revenue Integrity Reg Research

Work Shift:

Day

Job Category:

Revenue Cycle

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 the coordination of all Regulatory Research Team efforts in support of achieving organizational strategic initiatives. The position has a shared responsibility to assist in achieving team goals and targeted areas.

CORE FUNCTIONS

1. Provides support of regulatory information support and acts as a knowledge resource for the revenue cycle. Identifies, problem-solves and troubleshoots emerging compliance, coding and billing regulatory risks. This may include monitoring and reviewing emerging payer regulatory documents and evaluates, notifies and educates the revenue cycle of the changes and how they affect Banner. Develops and conducts programs with educational materials, procedures and exercises that are task/function specific using a variety of learning and evaluation strategies for all staff.

2. Assist leadership in monitoring and directing regulatory information to Banner leadership. Research, develop, and provide regulatory changes education to the revenue cycle and Banner Leadership. Supports leadership in the development of project implementation strategies. Serves as a liaison to the Information Analysts. Develops and updates regulatory project documents, written materials and procedures.

3. Verify implementation of regulatory changes as needed. Work closely with the Information Analysts to verify accurate regulatory reporting.

4. Works collaboratively with Senior Leadership to monitor regulatory changes with in industry trends.

5. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

6. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.

MINIMUM QUALIFICATIONS

Must possess a current knowledge of business and/or healthcare as normally obtained through the completion of a bachelor’s degree in business administration, healthcare administration or related field, plus advanced training in Health Information Management requirements and systems and in adult learning principles.

In the acute care coding environment, requires a Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT) or Certified Coding Specialist (CCS) in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).

In the ambulatory coding environment, requires Certified Professional Coder (CPC) certification or Certified Coding Specialist-Physician (CCS-P), with RHIA, RHIT or CCS certification preferred.

Minimum of 5 years of related experience, including 2 years in a Coding, Billing, Revenue Cycle role.

Requires a broad range of skills, in multiple complex areas of operations and workflow.

Must be proficient in the use of common office and presentation software and have an advanced knowledge and experience with computer healthcare applications and hardware.

Preferred Qualifications:

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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