Under general supervision, applies acquired skills as a revenue cycle analyst to complete projects of moderate scope and complexity. Under the supervision of the ZSFG Division of Pediatrics Division Administrator and the Clinical Practice Group (CPG)Director, the Division of Pediatrics Billing/Compliance Analyst is responsible for organizing and maintaining the timely flow of documentation to the coding and billing department (CPG). This position is also the principal resource for evaluating documentation, management services and procedural reports as well as assigning the appropriate codes for billing. Involves revenue cycle functions for the healthcare enterprise, including system billing, reporting and support. Ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services. Impacts processes to include charge capture, coding, insurance identification, data entry, billing, payment posting, refund processing and collections. When needed, the incumbent is responsible to interface with various providers to ensure completion of documentation. The incumbent is responsible for the following but not limited to: timely review, coding, batching, submission, and tracking of inpatient charges. This position will coordinate and participate in the processing of charges by abstracting and coding medical information from patient records, ensuring accuracy of work and adherence to established coding guidelines. Income from clinical activity constitutes a significant percentage of the division's funding. The ability to track, analyze and report on revenue cycle issues is critical to the division's financial stability. May also be responsible for / integrated with business office operations.

Under the supervision of the ZSFG Division of Pediatrics Division Administrator and the Clinical Practice Group (CPG) Director, the Division of Pediatrics Billing/Compliance Analyst is responsible for organizing and maintaining the timely flow of documentation to the coding and billing department (CPG). This position is also the principal resource for evaluating documentation, management services and procedural reports as well as assigning the appropriate codes for billing. Involves revenue cycle functions for the healthcare enterprise, including system billing, reporting and support. Ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services. Impacts processes to include charge capture, coding, insurance identification, data entry, billing, payment posting, refund processing and collections. When needed, the incumbent is responsible to interface with various providers to ensure completion of documentation. The incumbent is responsible for the following but not limited to: timely review, coding, batching, submission, and tracking of inpatient charges. This position will coordinate and participate in the processing of charges by abstracting and coding medical information from patient records, ensuring accuracy of work and adherence to established coding guidelines. Income from clinical activity constitutes a significant percentage of the division's funding. The ability to track, analyze and report on revenue cycle issues is critical to the division's financial stability. May also be responsible for / integrated with business office operations.

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