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72261BR

Auto req ID:

72261BR

Department:

24069 - Revenue Integrity

Job Description:

The FERC Optimization & Denial Prevention Analyst is responsible for supporting the Revenue Integrity Director of FERC Optimization & Denial Prevention with preventing revenue leakage and maximizing potential revenue through process redesign and improvement, policy/procedure implementation, along with continuing education, communications and an overall partnership with operational leaders. This includes but is not limited to review of payer policies and contracts, workflow optimization, leveraging revenue integrity pre-bill edit scrubbing, root cause analysis and denial coordination, education and/or training regarding denial prevention and workflow implementation.

Act as a consultant with internal operational leaders to initiate, coordinate and provide knowledge using revenue cycle data to help support revenue optimization and denial reduction initiatives and workflows.

Buffalo, NY

Location:

Larkin Bldg @ Exchange Street

Recruiter:

Casey Calandra

Minimum or Preferred Qualifications:

BS - Bachelor of Science in Finance, Accounting, Business Administration or related field required. MA - Masters in Health Information Management, Business Administration, Healthcare Administration or a related field preferred. 5 years experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities required. 3 years' experience and proficiency with MS Excel, Access, Word and PowerPoint required. 2 years' experience with report writing preferred. RHIA, RHIT, CCS, CPC/CMC, COC or other coding credentials - Prior to or within 1 year of hire preferred. Healthcare Compliance Certification (CDC) - Prior to or within 1 year of hire preferred. Certified Revenue Cycle Representative (CRCR) - Prior to or within 6 months of hire preferred.

Status:

Full Time

Shift:

Days

Scheduled Work Hours:

8a-5p

Salary Range:

$56,891-$87,067 annually Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement.

Grade:

11

Position:

FERC Optimization & Denial Prevention Analyst

Union Code:

00 - Non Union

Bi-Weekly Hours:

75

Weekend/ Holiday Requirement:

No Weekends or Holidays Required

Equal Opportunity Employer

Kaleida Health is committed to diversity and believes our workforce is strengthened by the inclusion of and respect for our differences.

Kaleida Health is an equal opportunity and affirmative action employer. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, religion, sex, national origin, citizenship status, creed, gender, gender identity or expression, sexual orientation, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for or perform your job.