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REGULATORY COMPLIANCE ANALYST - HIM CORP COMPLIANCE

Location
Chapel Hill, NC

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REGULATORY COMPLIANCE ANALYST - HIM CORP COMPLIANCE','AUD000H4','!*!Position: Regulatory Compliance Analyst
Location: Eastowne, Chapel Hill
Hours: Full-time, 40hrs, Monday-Friday
 
Knowledge of Correct Coding Initiative (CCI), CPT, HCPCS, Revenue Codes, modifiers, billing regulations and guidelines in order to process daily CCI/MUE edits within Epic.
Ability to research complex coding and regulatory requirements in order to understand and analyze payer regulations as well as coding guidelines.
 
Performs charge accuracy audits to compare hospital charges to documentation in the patient's medical record.
 
Must be self-motivated and detail oriented with strong analytical and critical-thinking skills.
Knowledge of application system(s) and their appropriate use in charging and billing.
 Provides input to Revenue Integrity Management regarding government and non-government policies and procedures.
Maintains a comprehensive understanding of the Ambulatory Payment Classification (APC) reimbursement methodology and grouping logic for all Outpatient ancillary departments.
 
 
Preferred Certifications:  COC, CPC, RHIT','!*!


Education
 
 


Bachelor's degree (B.A.) from a four-year college or university; or completion of Accredited Record Technician program; or completion of AHIMA independent study program; or a combination of education and experience.
 
Minimum of at least two years acute healthcare experience required with an emphasis on APC/OPPS Coding, auditing, compliance, and/or charge master issues.
 
Preferred Licensure
 
CCS , CPC , RHIA , RHIT ','United States-North Carolina-Chapel Hill','REXH-28025-Health Info Mgt Corp Complianc','','','Day Job','REGULATORY COMPLIANCE ANALYST - HIM CORP COMPLIANCE

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