Align yourself with an organization that has a reputation for excellence! Cedars Sinai received the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also received the Advisory Board Company's Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement Join us, and discover why U.S. News & World Report has named us one of America's Best Hospitals!
What will you be doing in this role?
The Compliance and Revenue Integrity Analyst is responsible for maintaining and assessing the Patient Financial Services (PFS) billing compliance program. This individual performs audits and reviews of PFS and Reimbursement activities to ensure compliance with governmental and payor rules and regulations. The Compliance Analyst develops the PFS and reimbursement compliance training program, and conducts compliance training and education sessions. The Analyst provides oversight of all compliance activities performs audits and statistical analyses of PFS and Reimbursement operations and provides feedback to management staff and the Corporate Integrity Committee. This individual develops procedural changes to ensure compliance with billing and reimbursement regulatory requirements. The Compliance Analyst is the coordinator for the GAP Task Force and the GAP Committee.
Bachelors degree in Business Administration, Finance, Economics or similar major.
5 years of hospital compliance or medical billing experience preferred.
Familiarity with Medicare hospital billing rules and regulations highly preferred.
Working Title: Revenue Integrity Analyst - Compliance Analyst
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scientists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major t...eaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.