View All Jobs/Careers

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources,ongoing mentorship and leadership programs for all types of jobs, and asupportive environment that enables you to reach new heights in your career

and be what you want to be. We provide:

• Comprehensive health benefits that start day 1

• Student Loan Repayment Assistance & Reimbursement Programs

• Family-focused benefits

• Wellness incentives

• Ongoing mentorship and leadership programs

• And more!

Description

The Billing Compliance Analyst collaborates with clinical and administrative staff throughout Emory to address and mitigate compliance risks. The Billing Compliance Analysts also functions as part of a unit team to accomplish unit goals and works cooperatively with other compliance staff and department staff as needed to resolve shared issues and concerns. They may also participate in committees, workgroups and process improvement projects as assigned.

Duties and Responsibilities:

Analyze data, draft preliminary audit reports and process final reports according to established protocol.

Provide feedback and education on the results of audits and collaboratively establish corrective action plans. Provide information to management for regularly scheduled reports and updates regarding audit progress and results.

Exercise sound judgement in the interpretation and application of law, regulations, policies and procedures. Research documentation, coding, billing and other related regulatory guidelines.

Investigate billing and coding issues as related to inquiries, complaints or audit results.

Review claim denials to assess coding and medical necessity issues.

Serve as a resource for current documentation, coding, billing and related regulatory guidelines.

Develop and maintain detailed audit records, prepare accurate and timely reports, and generate statistical information as requested.

Safeguard the confidentiality of sensitive information.

Assists with reviewing and analyzing billing processes, conduct auditing and monitoring to ensure compliance with applicable healthcare regulations.

Assist with coordinating and tracking of revenue/government audits.

Minimum Qualifications:

• Bachelor's Degree in related field and five years of experience in hospital billing coding operations or compliance.

• Relevant combination of education and experience may be considered in lieu of a degree.

• Extensive knowledge of ICD 10-PCS, ICD-10-CM, CPT and HCPCS coding principles and guidelines. Comprehensive knowledge of federal and state regulations related to documentation, coding and billing. Experience in an academic healthcare environment a plus.

• Proficiency with electronic medical records systems, databases and related automated systems.

• Clinical experience, including but not limited to, LPN or RN licensure is a plus.

Additional Details

Supporting a diverse, equitable and inclusive culture. Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members. Emory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training.

PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Connect With Us!

Connect with us for general consideration!

Division Emory Healthcare Inc.

Campus Location Atlanta, GA, 30345

Campus Location US-GA-Atlanta

Department EHI Office of Compliance

Job Type Regular Full-Time

Job Number 138162

Job Category Revenue Cycle & Managed Care

Schedule 8a-4:30p

Standard Hours 40 Hours

Hourly Minimum USD $31.76/Hr.

Hourly Midpoint USD $42.08/Hr.

Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.