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  1. Home
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  3. accounting & finance
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  5. Business Integrity Analyst Credentialed
HCA Healthcare logo

Business Integrity Analyst Credentialed

Not Disclosed•Full-TimeRemote

location_on1504, Hawkins Street, Nashville, Davidson County, Middle Tennessee, Tennessee, 37203, United States

Apply Now

About the Team

Experience the HCA Healthcare difference, where colleagues are trusted, valued members of our healthcare team. We are committed to delivering respectful, compassionate care, recognizing the unique and intrinsic worth of each individual. Parallon, our revenue cycle management partner, provides full-service solutions for HCA Healthcare and external clients. With over 17,000 colleagues serving nearly 1,000 hospitals and 3,000 physician practices, we make a significant impact on patients, providers, and communities.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, we have spent an estimated $3.7 billion on charitable care, uninsured discounts, and other uncompensated expenses. As Dr. Thomas Frist, Sr., our Co-Founder, stated: "Bricks and mortar do not make a hospital. People do."

About the Role

This Work from Home position is designed for a Billing Integrity Analyst Credentialed who lives within 60 miles of an HCA Healthcare Hospital. You will serve as a primary contact for charge-related inquiries, ensuring the accuracy and completeness of billing data in alignment with regulatory requirements. Your work involves analyzing and resolving specific billing edits that delay claims processing, verifying medical records and facility protocols, and applying appropriate modifiers and condition codes.

In this role, you will act as a charge master liaison, facilitating clinical department education on appropriate charging practices and coordinating updates with ancillary departments. You will also review regulatory communications, CMS transmittals, and Local Coverage Decisions to assess their impact on billing integrity procedures and implement necessary changes. This position offers an opportunity for personal growth and satisfaction within an organization dedicated to ethical healthcare delivery.

Hiring Process

We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team for interviews. If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply today.

Equal Opportunity

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Work location

Work model: Remote

location_on

1504, Hawkins Street, Nashville, Davidson County, Middle Tennessee, Tennessee, 37203, United States

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Skills, education and keywords

Skills: HCPCS, CPT, Rhit, CCS, CCP, CPC, LPN, LVN, RT, PT.

Education: Associate degree or above, or healthcare license/certification required.

Frequently asked questions about Business Integrity Analyst Credentialed at HCA Healthcare

What does a Business Integrity Analyst Credentialed at HCA Healthcare do?expand_more
A Business Integrity Analyst Credentialed at HCA Healthcare is responsible for the following: Serve as charge master liaison to facilitate clinical department education on appropriate coding; Review regulatory communications and CMS transmittals to assess and implement billing procedure changes; Maintain billing education by attending required webcasts and conference calls; and Analyze and resolve billing edits requiring HCPCS/CPT coding expertise to prevent claim processing delays.
What are the requirements for this Business Integrity Analyst Credentialed role?expand_more
To qualify for the Business Integrity Analyst Credentialed at HCA Healthcare position, applicants should have: Associate degree or above; Healthcare license/certification (RHIT, CCS, CCP, CPC, LPN, LVN, RT, PT); Minimum 1 year directly related Healthcare or coding experience; Knowledge of CPT/HCPCS codes; and Work within 60 miles of HCA Healthcare Hospital in FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA.
Where is the Business Integrity Analyst Credentialed role at HCA Healthcare located?expand_more
Business Integrity Analyst Credentialed at HCA Healthcare is based in 1504, Hawkins Street, Nashville, Davidson County, Middle Tennessee, Tennessee, 37203, United States. This is a remote role.
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Nashville, Tennessee

Key Responsibilities

  • check_circleServe as charge master liaison to facilitate clinical department education on appropriate coding
  • check_circleReview regulatory communications and CMS transmittals to assess and implement billing procedure changes
  • check_circleMaintain billing education by attending required webcasts and conference calls
  • check_circleAnalyze and resolve billing edits requiring HCPCS/CPT coding expertise to prevent claim processing delays
  • check_circleIdentify charging and documentation issues and collaborate with leadership to resolve them
  • check_circleVerify billing data accuracy and completeness by reviewing medical records and facility protocols

Requirements

  • verifiedAssociate degree or above
  • verifiedHealthcare license/certification (RHIT, CCS, CCP, CPC, LPN, LVN, RT, PT)
  • verifiedMinimum 1 year directly related Healthcare or coding experience
  • verifiedKnowledge of CPT/HCPCS codes
  • verifiedWork within 60 miles of HCA Healthcare Hospital in FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA

Nice to Have

Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews.

Benefits & Perks

check_circleComprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine servicescheck_circleFree counseling and referral services for wellbeing supportcheck_circlePaid time off, paid family leave, long- and short-term disability coverage, and leaves of absencecheck_circle401(k) Plan with 100% match on 3% to 9% of pay based on years of servicecheck_circleEmployee Stock Purchase Plan, flexible spending accounts, and financial wellbeing counselingcheck_circleTuition assistance, student loan assistance, certification support, and dependent scholarshipscheck_circlePartnership with Galen College of Nursing for education supportcheck_circleFertility and family building assistance, adoption assistance, and life insurancecheck_circleSupplemental health protection plans, auto and home insurance, and legal counselingcheck_circleIdentity theft protection and consumer discounts
HCA Healthcare logo
Company

HCA Healthcare

Industry

accounting & finance

View company profilearrow_forwardlanguageWebsite
Quick Overview

Experience

1+ yrs (Entry Level)

Education

Associate degree or above, or healthcare license/certification required

Job Type

Full-Time

Skills Required

HCPCSCPTRhitCCSCCPCPC
Not Disclosed
arrow_forward
Is this Business Integrity Analyst Credentialed job remote, hybrid, or on-site?expand_more
HCA Healthcare has listed this Business Integrity Analyst Credentialed role as remote.
How much experience is required for this Business Integrity Analyst Credentialed role?expand_more
Business Integrity Analyst Credentialed at HCA Healthcare typically requires 1+ years of relevant experience at the entry level level.
What skills do you need for the Business Integrity Analyst Credentialed role at HCA Healthcare?expand_more
Key skills for Business Integrity Analyst Credentialed at HCA Healthcare include HCPCS; CPT; Rhit; CCS; CCP; CPC; LPN; and LVN.
What education is required for Business Integrity Analyst Credentialed at HCA Healthcare?expand_more
Educational requirements for this role: Associate degree or above, or healthcare license/certification required.
What category does the Business Integrity Analyst Credentialed role belong to?expand_more
Business Integrity Analyst Credentialed at HCA Healthcare is part of the accounting & finance job category on Recrutus.
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LPN
LVN
RT
PT