Optim Health System is seeking a full time Revenue Integrity Analyst for our Savannah location.

Job Requirements:

• Understands and adheres to the Optim Health Performance Standards, Policies and Behaviors.
• Assures the delivery of quality department /clinical services in accordance with established hospital and regulatory/accreditation agency standards.
• Responsible and accountable for the overall compliance of their assigned department.
• Assures employee compliance with hospital and Human Resources policies and procedures as well government regulations and guidelines.
• Assures competency and education requirements are satisfied as per hospital policy.
• As required, participates in the Performance Improvement Program as defined by the organization.
• Responsible for participation in committees, task forces and projects as appropriate.
• Assures the provision of a safe employee/patient environment.
• Maintains knowledge related to the operations of their department.
• Works collaboratively with all levels of the hospital interdisciplinary team and promotes the team concept within their department and hospital wide.
• Demonstrates positive customer service, fosters positive employee relations and assures that staff adhere to the Customer Service Behavioral Standards.
• Supports hospital initiatives and projects and functions as a positive change agent.
• Promotes a positive and professional image and is a role model, coach, mentor and resource for staff and peers.
• Ensures compliance with all regulatory standards and policies.
• Responsible for research and roll-out of federal and state updates pertaining to hospital and billing compliance 16. Works to protect revenue based upon regulatory compliance requirements.
• Responsible for analysis of audit findings to report to senior management findings and recommendations to prevent future loss as well as protect current revenue.
• Educates staff and other departments regarding federal and state laws as it pertains to hospital procedures and billing guidelines.
• Disseminate government updates to healthcare providers, ensuring necessary changes are made to processes, chargemaster, and/or billing process as required. within the time frame for accurate and compliant billing.
• Works independently managing time lines, projects and audits to ensure compliance within required time frames and go live dates.
• Responsible for hospital enrollment and revalidation of government agencies.
• Handles billing office reporting to government agencies as required.
• Manages audits both external and internal as it pertains to the billing office.
• Responsible for communicating findings and overseeing corrective actions for audits within the operational units.
• Responsible for upkeep of the charge master and ensuring the compliance and integrity of the charges and billing.
• Performs charge master integrity audits as well as charge audits to ensure all revenue is captured appropriately at the account level and in the billing system.
• Reviews billing edits to ensure accurate and complete billing following regulatory requirements, to resolve and prevent future edits.
• Attends and participates in educational programs or activities to maintain current level of knowledge or expertise.
• Ensures proper billing protocols and guidelines are followed.
• Works in conjunction with members of the management team and departments to respond to audits as well ensure compliance with state and federal regulations.
• Develops and implements policies and procedures to insure compliance with all regulatory agencies.
• Attends Management/Leadership meetings as required.
• Utilizes multiple methodologies to communicate information.
• Adheres to safety standards for employees and patients.
• Interacts with hospital ancillary revenue departments, patient registration, and case management to ensure compliant practices and streamline revenue.
• Participates in committees, task forces, projects, etc. as required.
• Submits all other work reports as required/requested by the Division Administrator.
• Designs, implements and maintains procedure manuals for all areas of responsibility.
• Performs all other related duties as assigned.

Optim Offers:

• Competitive Pay
• Company Benefits
• Vacation, Personal, and Sick Time Off
• Holiday Pay
• 401K Plan