Protecting and Enhancing Revenue for Hospitals

Current Openings

Outpatient Coding Analyst – (Remote)

We are currently seeking an Outpatient Coding Analyst to work closely with the Director Revenue Integrity Solutions to achieve the Revenue Integrity Service Line’s goals and objectives. This position has the ability to work remotely.

PRIMARY RESPONSIBILITES:

  • Utilizing BESLER’s revenue integrity platform, review outpatient claims at all levels of complexity
  • Review all charges, ensure accurate charge capture, and review medical necessity for all ordered tests/procedures. Ensure adequate documentation to support ordered services
  • Assign and sequence ICD-10-CM and CPT-4 codes (including modifiers) for all specialty patient types which may include observation, outpatient, ambulatory records, and emergency room records for billing and reimbursement
  • Assign and sequence evaluation and management services codes for all outpatient claim types
  • Review and analyze medical records for APC assignment to accurately reflect the diagnosis/procedures documented in the medical record. Participate in communication and education to client’s staff concerning documentation issues to support accurate coding and billing. Shares information in a professional and timely manner
  • Abstract clinical data, accurately after documentation assessment and review to ensure that it is adequate and appropriate to support the diagnoses and procedures selected to be abstracted
  • Maintain current knowledge of regulatory standards, which may impact utilization of processes and systems
  • Seek opportunities for individual growth and development, including attending various meetings, conferences, and courses, as required
  • Responsible for meeting departmental productivity and quality expectations
  • Consult with client organizations and their department heads at the direction of the service line director
  • Collaborate with other service line team members to meet client demands and to develop strategies for service line growth and operational improvement
  • Communicate consistently with all project team members and general BESLER colleagues regarding the status and results of service line business operations
  • Contribute to publications, presentations and white papers on behalf of organization as requested
  • Carry out all other ad hoc requests as determined by business needs
  • Travel to client sites as may be required

EXPERIENCE:

Demonstrated abilities and experience in the following areas:

  • A minimum, 5+ years’ experience with outpatient coding/billing
  • Demonstrates competency in use of computer applications including abstracting and encoding software.
  • APC grouper software, MS office and hospital information systems
  • Understand Outpatient Code Editor edits
  • Demonstrated knowledge in hospital/healthcare settings such as revenue cycle, clinical experience, charge description master, coding, reimbursement, health insurance practices, industry regulatory requirements, business office operations, technology, and industry standards for healthcare resolution management practices.
  • Knowledge of ICD-10 and CPT required,
  • Excellent oral and written communication skills, including the ability to interact with high-level of management.
  • Detailed-oriented and able to meet targeted deadlines

EDUCATION:

  • Bachelors of Science degree in a related field, Associates in Health Information Technology minimally acceptable
  • RHIA or RHIT preferred, CCS or CPC credential required

Interested applicants should submit their credentials to employment@besler.com for consideration.

BESLER is an equal opportunity employer committed to full compliance with all applicable laws.

 

Part-Time/Per Diem Claims Investigation Jr. Analyst – Princeton, NJ

We are currently seeking a Part-Time/Per Diem Claims Investigation Jr. Analyst to work in our Princeton, NJ office 20 hours a week – day shift.

Primary RESPONSIBILITIES: 

  • Identify and determine assigned priorities and workload for daily operation utilizing B-Verified software (Resource Assignment & Workflow Management).
  • Conduct client reviews and analysis, per the engagement methodology, and within the designated time frame. (Includes FI, HHA Calls & Facility calls (as required))
  • Document in B-Verified software utilizing software guided investigation methodology. Adheres to established protocols and insures compliance standards by providing accurate information on all product line work.
  • Maintain appropriate internal control safeguards over (PHI) Protected Health Information, client records and collection of BESLER information.
  • Maintain compliance standards for providing accurate information on all product line work.
  • Communicate regularly and effectively with all superiors regarding the status and results of the business operations under control of the Manager.

EDUCATION and EXPERIENCE:

Demonstrated abilities and experience in the following areas:

  • Minimal related business experience in the healthcare field useful.
  • Skills in using PC computers and related software essential to effective and efficient performance.
  • Strong, clear, and effective communication, organizational and prioritization skills.
  • Comfortable with all forms of communication in both giving and receiving constructive feedback. 

This is a great opportunity for someone returning to the job market.

 

Interested applicants should submit their credentials to employment@besler.com for consideration.

BESLER is an equal opportunity employer committed to full compliance with all applicable laws.