Coding and CDM Analyst

Who we are

FinThrive is advancing the healthcare economy. We rethink revenue management to pave the way for a healthcare system that ensures every transaction and patient experience is addressed holistically. We're making breakthroughs in technology-developing award-winning revenue management solutions that adapt with healthcare professionals, freeing providers and payers from complexity and inefficiency, so they can focus on doing their best work. Our end-to-end revenue management platform delivers a smarter, smoother revenue experience that increases revenue, reduces costs, expands cash collections, and ensures regulatory compliance across the entire revenue cycle continuum. We've delivered over $8.8 billion in net revenue and cash to more than 3,245 customers worldwide. When healthcare finance becomes effortless, the boundaries of what's possible in healthcare expand. For more information on our new vision for healthcare revenue management, visit FinThrive.com

What we offer

Our people make us great. We know that our colleagues are the most integral part of our story.

We offer a flexible, work-from-anywhere environment -coming together across time zones, countries, home offices and computer screens. Our valued team members work across the U.S., Canada, India and beyond.

We encourage you to take time away from work -whenever you need it. Our flexible time off lets you make time for what matters most. We want you to travel, refresh, spend time with family and friends, and give back to your communities.

We're big on professional development. Through training and education, we help you develop the skills you need to excel in your role and beyond.

We're proud of our award-winning culture. We've been certified as a "Great Place to Work" since 2017. Our goal is to engender a culture based on diversity, inclusion and respect-a culture where your voice is valued-and you always have a seat at the decision-making table.

Impact you will make

• Provide chargemaster (CDM) and coding expertise to facilitate a better understanding of federal and local coding and billing regulations as it relates to managing regulatory content and providing guidance to hospitals and physicians
• Maintain and ensure reliable proprietary content and compliance recommendations that reside across FinThrive Solutions
• Evaluate and provide operational improvements in business processes related to billing, CDM, and clinical coding integrity

What you will do

• Understands the designated hospital charge structure and clinical departments and develop recommendations for content across FinThrive products
• Understands the designated professional/physician charge structure and develop recommendations for content across FinThrive products

• Perform quarterly, annual, and as needed research associated with the development and maintenance of proprietary coding and compliance related content for FinThrive solutions
• Research and develop coding requirements associated with CPT/HCPCS codes, revenue codes, modifiers and other regulatory updates using coding, billing, and other regulatory resources
• Develop, maintain and QC proprietary content data that occurs off-cycle, quarterly and annually
• Perform quality review as designated by policy and procedures to ensure accurate and reliable content
• Coordinate, manage, and plan designated projects in collaboration with other departments to achieve projected deadlines
• Conduct audits to ensure content data integrity and compile audit statistics and summary analysis monthly
• Compile statistics associated with proprietary content updates and other designated work

• Attend customer meetings as required as a compliance and content subject matter expert
• Respond to customer Compliance related questions via SalesForce cases and partner queries within three business days
• Follow up verbally with customers as needed
• Assist in training other team members regarding coding and compliance
• Actively participate in departmental and company-wide meetings
• Adhere to all departmental and company-wide policies and procedures
• Assist manager with daily operations as needed
• Promptly report content issue and/or data display issues to the team manager

• Become knowledgeable of internal controls responsibilities through training and ongoing instruction
• Assist with internal control failure remediation efforts
• Responsible and accountable for internal control performance within areas of responsibility

• Cross-train in other coding and compliance department areas as needed

What you will bring (required)

• Bachelor's degree and/or 3+ years of extensive chargemaster/or CDM/coding experience in the assessment and integrity of billing, CDM and/or revenue integrity requirements
• Extensive hospital experience and/or knowledge of hospital and ambulatory Medicare coding & billing guidelines including, but not limited to, usage of medical terminology, CPT/HCPCS code sets, revenue code/CPT/HCPCS relationship, various prospective payment systems, and applicable federal and local regulations

• Advanced analytical and interpretation skills associated with U.S. healthcare regulatory documentation
• Ability to research, analyze, and interpret general business periodicals, professional journals, technical procedures, and complex governmental regulations

• Ability to provide written business correspondence and effectively present information and respond to questions from managers, customers, and colleagues
• Strong verbal and written communication skills
• Advanced proficiency in Microsoft Office, particularly Excel, Word, PowerPoint, Outlook, and Edge
• Meticulous attention to detail and strong focus on quality
• Efficient time management skills and ability to multi-task
• Demonstrated ability to work in a team environment that requires quick turnaround and quality output

What we would like to see (preferred)

• AAPC or AHIMA certification (COC, CPC, CCS) or other appropriate clinical degrees and/or certifications (RN, CRCR)
• Microsoft Office certification
• Experience using Microsoft Access