Riverside Health

Financial Planning and Analysis

• Serves as the Finance representative for the acute care hospital(s) and integration of non-acute services.
• Supports operating groups, identifying opportunities for process improvements, revenue enhancements, cost containments, and business and market share growth.
• Works in conjunction with Accounting, Reimbursement, Budget, Cost Accounting, Revenue Integrity, and Decision Support areas.
• Analyzes data from multiple sources using Excel, Access, SQL, etc. for decision making.
• Completes proformas, financial analysis, monthly cash and allowance forecasts, long range planning, and assists with budgeting.
• Performs monthly analytical assessments and creates progress reports for management.
• Performs data mining of department data structures to uncover trends in financial performance.

Regional Financial Analyst

Medical Billing and Coding

• Ensures high quality documentation that is thorough, accurate and complete
• Organizes and prioritizes assigned work
• Reviews charts and medical records, assigning ICD and CPT code combinations
• Audits for documentation opportunities, queries clinical staff
• Contacts physicians for clarification of details
• Utilizes ICD-10-CM classification system and CPT classification system
• Maintains coding accuracy at 90% or better
• Complies with standardized coding standards and regulations
• Participates in specialty specific coding training

Coder RMG

Medical writer

• Assesses clinical documentation through extensive review of the medical record
• Interacts with providers, nursing staff, and coding staff to ensure appropriate reimbursement
• Conducts post discharge reconciliation for comparative analysis of CDI specialist and final coding
• Formulates appropriate clinical documentation clarifications
• Works with providers and Advanced Practitioners to improve documentation
• Participates in departmental education, training, and orientation sessions
• Assists in overall quality and completeness of the health record

Regional Financial Analyst

Coder RMG

Clinical Documentation Specialist III – Registered Nurse