Protecting and Enhancing Revenue for Hospitals

Current Openings

Full time- Coding Analyst, Inpatient – Remote

We are currently seeking an Inpatient Coding Analyst. This position can work remote.

Primary RESPONSIBILITLES:  

  • Utilizing BESLER’s revenue integrity platform, review claims at all levels of complexity for inpatient claims:
    • Ability to read, decipher and analyze all aspects of medical record documentation for accurate coding.
    • Review whether the diagnoses and procedures (represented by the ICD-10-CM/PCS coding) are accurate.
    • Review whether DRG’s are assigned correctly, and if all diagnoses and procedure codes and MCC/CCs are identified.
  • Support and engage in education presentations (both face-to-face and remotely) associated with audit and review activities.
  • Maintains current knowledge of regulatory agencies standards, i.e., CMS, OIG, AHA, etc.
  • Seeks 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.
  • This position performs other duties as assigned.

EDUCATION and EXPERIENCE:

Demonstrated abilities and experience in the following areas:

  • A minimum, 5+ years’ experience with inpatient auditing and reviewing cases.
  • Demonstrates competency in the use of computer applications in the EHR (i.e., Cerner, EPIC, Meditech, etc.)  and knowledge in DRG grouping software.
  • Computer proficiency as related to MS Office and in-house proprietary software.
  • Demonstrates knowledge in hospital/healthcare settings such as revenue cycle, coding, and reimbursement.
  • Knowledge of ICD-10-CM/PCS required; ICD-10-CM/PCS AHIMA Approved Trainer experience highly desired.
  • Excellent oral and written communication skills, including the ability to interact with high-level of management.
  • Detailed-oriented and able to meet targeted deadlines.
  • Bachelor of Science degree in a related field, Associates in Health Information Technology minimally acceptable
  • RHIA or RHIT preferred, CCS 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.

Full time- Reimbursement Consultant NJ/NY/PA – Remote

We are currently seeking a Reimbursement Consultant – NJ/NY/PA with specific project work experience in NJ, PA, and NY. This position can work remote.

Primary RESPONSIBILITLES:  

  • Actively contribute to work projects in the areas of: Cost Reporting, DSH and Wage Index.
    • State specific work projects include: NJ DSH survey, NJ Shares Report, PA MA-336 Report, NY ICR Report, NJ DSH Processing including the “Judge Run” Report.
  • Must actively define need or problem, conduct research and analysis of data, in order to recommend solutions for clients.
  • Conduct client engagements, per the engagement methodology, and within the designated time period.
  • Exhibit the critical problem-solving skills needed to include:
    • The ability to break down a significant problem into its root causes and then design solutions to address each of the root causes.
    • Ability to analyze complex provider issues and identify the appropriate regulatory impact.
  • Develop and maintain client relationships that continue to produce revenues for the firm over time.  Keep open lines of communication with active clients and keep clients abreast of new issues as they develop.
  • Assist in the development of specific recommendations and conclusions for the client.
  • Ability to manage multiple projects simultaneously to ensure that deadlines are met and product quality are maintained.

EDUCATION and EXPERIENCE:

Bachelor’s degree required, preferably in business, finance, health or public administration, management, or a related field.

Demonstrated abilities and experience in the following areas:

  • Experience working with the following state specific criterion:
    • New Jersey DSH survey
    • New Jersey Shares Report
    • Pennsylvania MA-336 Report
    • New York ICR Report
    • New Jersey DSH Processing including the “Judge Run” Report
  • Individual is required to have excellent written skills as well as clear and effective communication skills.  The individual may be required to utilize these skills to facilitate or assist in presentations on behalf of the Reimbursement Team.
  • Working knowledge in the areas of hospital/healthcare settings such as cost reporting, IME/GME bad debt, wage index reviews, DSH and other areas as assigned to include health insurance practices, industry regulatory requirements and technology.
  • Demonstrated ability to problem-solving or detective style thinking in order to interface with staff, as well as with the client, in order to effectively detect areas with potential problems and ability to recommend solutions.
  • A minimum of 1-3 year’s healthcare or related business experience required along with strong organizational skills.
  • Skills in using mainframe and PC computers and related software essential to effective and efficient performance.
  • Knowledge of medical and general industry terminology.
  • Project Management Skills, ability to monitor and report on client engagement activities throughout the lifecycle of the engagement.

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.