Revenue Integrity Analyst

University Medical Center of Southern Nevada
Las Vegas, Nevada United States  View Map
Posted: Nov 02, 2024
  • Salary: $38.24 - $59.26 Hourly USD
  • Full Time
  • Administrative Analysis and Research
  • Job Description

    Position Summary

    EMPLOYER-PAID PENSION PLAN (NEVADA PERS)
    COMPETITIVE SALARY & BENEFITS PACKAGE

    As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients.

    We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.


    Position Summary:
    Maintains the Chargemaster fee schedule in accordance with established coding practices and governmental regulatory requirements. Conducts quality control audits and review charge capture clinical workflows for missed revenue opportunities. Creates action plans for capturing missed revenue. Identifies edits in patient management/billing software that impacts billing accuracy. Ensures CPT, HCPCS and revenue codes are accurate and compliant will all charging and billing guidelines. Serves as a liaison between Revenue Cycle and clinical operations and information technology regarding revenue, compliance, and clinical workflow build.

    Job Requirement

    Education/Experience:
    Graduation from an accredited school of nursing or equivalent to a Bachelor's Degree in healthcare, finance or a closely related field and three (3) years experience in reviewing hospital charge capture, medical records, clinical charts, regulatory and policy compliance, and/or claims auditing.

    Licensing/Certification Requirements:
    Valid state license as a Registered Nurse or certification in one of the following: Certified Professional Coder (CPC), Certified Coding Specialist - Physician based (CCS-P), Certification in Healthcare Revenue Integrity (CHRI), or the ability to obtain certificate within one (1) year of employment. Failure to obtain and/or maintain licensure will result in termination of employment.

    Additional and/or Preferred Position Requirements

    • Experience using Epic
    • Experience in Revenue Cycle Management
    • Experience in Revenue Integrity
    • Experience maintaining CDM
    • Knowledge of CPT, HCPCS and Revenue Codes


    The University Medical Center of Southern Nevada offers a comprehensive & competitive benefits package:
    • Employer Paid Pension Plan through Nevada Public Employees' Retirement System "PERS"!https://www.nvpers.org/front
      • Vestingin the pension plan after 5 years of qualifying employment!
    • Health/Dental/Vision Insurance - Less than $20 per paycheck for employee-only coverage
    • Consolidated Annual Leave (CAL) - CAL is used for personal leave, holidays (eleven scheduled holidays per year), doctor appointments, vacation, and sick days up to 16 consecutive scheduled work hours (short-term sick leave), etc.
    • Extended Illness Bank (a/k/a Sick Bank)
    • 457 Deferred Compensation Plan
    • Comprehensive Group Health Insurance Plan
    • Nevada has no State Income Tax
    • No Social Security (FICA) Deduction

    As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients.

    We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.

    THE UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA IS AN AFFIRMATIVE ACTION/ EQUAL OPPORTUNITY EMPLOYER

    Closing Date/Time: Continuous
  • ABOUT THE COMPANY

    • University Medical Center of Southern Nevada
    • University Medical Center of Southern Nevada

    Today, UMC is more than a hospital; it is a comprehensive academic medical center with a rich history of serving the community. UMC now offers the highest level of care in Nevada, providing a wide range of exclusive and specialized health care services to community members and visitors. UMC is home to Nevada's only Level I Trauma Center, only Designated Pediatric Trauma Center, only Burn Care Center and only Center for Transplantation. Children's Hospital of Nevada at UMC serves as the state's only hospital to be recognized and accepted as an associate member of the Children's Hospital Association.

    Offering highly skilled physicians, nurses and staff members supported by the latest, cutting-edge technology, UMC and Children's Hospital of Nevada at UMC continue to build upon their shared reputation for providing Nevada’s highest level of care.

    EXCELLENT BENEFITS!

    A hospital's success is measured by its employees. At UMC, our employees make us the leading healthcare provider in Southern Nevada. To show our appreciation for all their hard work and dedication, UMC offers comprehensive and competitive benefits to all full and part-time employees.

    Pension Retirement Plan Fully Paid by UMC!
    UMC pays the full contribution (28%) of your base pay each pay period into the Public Employee Retirement System (PERS).

    No Social Security Tax Withdrawal
    UMC employees have a higher net take home pay!

    Consolidated Annual Leave (Paid Time Off)
    27 days of paid time off per year! Full- and part-time employees begin accruing CAL time immediately based on the number of hours worked. CAL time is used for vacation, holidays, sick and personal time off.

    Extended Illness Bank (EIB)
    To be used for employee hospitalization, or illness that results in an absence of more than 16 consecutive work hours.

    Medical/Dental/Vision/Prescription Coverage
    UMC offers two plans for employee and dependent coverage: Clark County Self-Funded or Health Plan of Nevada HMO.

    Nurse Corps Loan Repayment Program and Public Service Loan Forgiveness eligible employer!

    Basic Life Insurance
    UMC provides basic life insurance for each employee and dependent.

    Tax Deferred Compensation Program
    Provided by MassMutual, UMC employees may make a pre-tax contribution through payroll deduction to this deferred compensation plan.

    Employee Assistance Program
    Counseling services available for employees and their immediate family members at no cost.

    Other benefits for eligible full-time and part-time UMC employees:

    Sign-On Bonus (select positions)
    No State Income Tax 
    Specialty Pay (selected areas)
    Cafeteria Discount
    Military Leave
    Credit Union   (Clark County Credit Union)
    On-Site Bank (US Bank)
    Direct Deposit and Payroll Deductions
    Employee Referral Program (selected positions)
    Free Parking (assigned parking spots available for a fee)
    Wellness Fair
    Recreational Discount Offers
    Free Shuttle Bus

       

     

     

     

     

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