p style="text-align:inherit"/>Job Summary: The Senior Billing Compliance Analyst provides advanced support to the health system’s billing compliance program by performing complex audits, leading data analytics activities, and guiding prevention and monitoring strategies.
Location: Virtual Office, Oklahoma 73105
EOE Protected Veterans/Disability.
Working knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding Systems (HCPCS), revenue codes, Ambulatory Payment Classification (APC)/Diagnosis-Related Group (DRG) concepts, and payer billing rules. Certified Revenue Cycle Representative (CRCR) from Healthcare Financial Management Association (HFMA) and Epic Certifications (Resolute Hospital Billing, Resolute Professional Billing, Revenue Integrity), preferred.
p style="text-align:inherit"/>Job Summary: The Revenue Integrity Analyst collaborates with clinical departments, coding, finance, and Information Technology (IT) to resolve discrepancies, reduce revenue leakage, and maintain charge integrity with regulatory and payer requirements.
Location: Virtual Office, Oklahoma 73105
EOE Protected Veterans/Disability.
Oklahoma City, OK30+ days ago
li>Compile user friendly Denials Management Report from Qlik Denials Management Report to aid in determining true, preventable denials that we could be placed into an action plan to decrease such denials. Build and maintain a shared folder of payer policies for coding and medical necessity to aid in decreasing claim edits and denials based on these policies ICD-10 and CPT/HCPCS coding.
p>Full Time Days Job Summary: The Senior Revenue Integrity Analyst serves as a subject-matter expert in charge capture, charge workflow optimization, revenue reconciliation, and the evaluation of new or enhanced services. Advanced knowledge of healthcare coding systems (Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding Systems (HCPCS), International Classification of Diseases (ICD-10)), and reimbursement methodologies.
Broken Arrow, OK2 days ago
Join the Trinnex Security Team as a Senior Cyber Security Analyst, where you will operate at the intersection of cybersecurity and DevSecOps to protect critical software systems that support water utilities and infrastructure. Whether it's optimizing water supply and demand, detecting leaks and anomalies, or enhancing water quality and resilience, Trinnex delivers value and impact to public sector clients across the country.
Oklahoma City, OK30+ days ago
Provides day-to-day analytic support for assigned service lines, escalating complex revenue integrity issues to senior analysts or managers. The Revenue Integrity Analyst I supports revenue integrity operations by analyzing billing edits, identifying charge capture issues, and assisting with payer compliance activities.
Oklahoma City, OK30+ days ago
If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. The Analyst III mentors junior analysts, partners with cross-functional leaders, and drives enterprise-wide initiatives that ensure accurate billing, regulatory compliance, and optimized net revenue performance.
Activities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.
Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
p>CNO was selected as a winner in both HRDUS'' and Forbes'' 2022 "Employer of Choice" competitions: - Choctaw Nation of Oklahoma received recognition as one of six Best Places to Work in the United States as selected by HRDUS. 4+ years' experience manipulating and analyzing complex, high-volume, high-dimensionality data from varying sources and development experience in SSRS or Power BI 8+ years of professional related experience1.
Oklahoma City, OK30+ days ago
p>EXPERIENCE: Five (5) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and one of the certifications listed below OR Eight (8) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in lieu of education and certification. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave.
Oklahoma City, OK30+ days ago
li>Advanced skills within SQL with the ability to retrieve data from systems, create integrated datasets using CTEs and/or subqueries, update data within systems and create data tables and views within CLR's data warehouse. Uses SQL to retrieve data from systems, creates integrated datasets using CTEs and/or subqueries, updates data within systems and creates data tables and views within Databricks.
Oklahoma City, OK30+ days ago
p style="margin:0in;text-indent:0in;font-size:12pt;font-family:'times new roman' , serif"/>Our Culture:
Fueling customers' journeys since 1964, innovation leads the way for this family-owned and operated business headquartered in Oklahoma City.
Credit Card Chargebacks and Ticket Retrievals.- Ensure timely responses to all Credit Card Chargebacks and Ticket Retrievals.
Oklahoma City, OK30+ days ago
Soft skills: Ability to perform and make decisions under pressure and strict deadlines; excellent time management skills; detail oriented; ability to multitask and be a team player; excellent verbal and written communication skills are required. With nearly 40,000 team members, travel stops are the core business along with products and services that provide value for professional drivers, fleets, traveling public, RVers, alternative energy and wholesale fuel customers.
Oklahoma City, OK30+ days ago
EXPERIENCE: Seven (7) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and one of the certifications listed below OR Ten (10) years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in lieu of education and certification. If our mission of partnering with people to live healthier lives speaks to you, apply today, and learn more about our increased compensation plans and recently enhanced benefits package for all eligible caregivers such as front-loaded PTO, 100% INTEGRIS Health paid short-term disability, increased retirement match, and paid family leave.
The quality review and mentoring process includes code and logic review, benchmarking, and direction and insight of the reporting processes, statistics of healthcare, and managing projects requiring limited level of independent decision making and coordinating resources. Ability to independently manage projects, including creating and leading a team of analysts, interaction with other departments and outside stakeholders.
Oklahoma City, OK27 days ago
The Senior IT Security Analyst is responsible for engineering and administration of IT Security systems as well as monitoring system and network logs to identify threats, misconfigurations and anomalies and assist with any necessary remediation. This role is responsible for working with the business and across all IT functions to help protect company data and reduce overall risk exposure.
Oklahoma City, Oklahoma20 days ago
ul>Collaborates with varying levels of reservoir engineers, petrotechnical professionals, financial professionals, and management to effectively gather data/reporting requirements and build complex datasets, visualizations, analytical tools, and reports. Advanced skills within SQL with the ability to retrieve data from systems, create integrated datasets using CTEs and/or subqueries, update data within systems and create data tables and views within CLR’s data warehouse.
Oklahoma City, OK16 days ago
p>Education and Experience requirements at this level include a bachelor's degree in criminal justice, criminology, crime and intelligence analysis, sociology, or a closely-related field of study; or an equivalent substitution of experience with a law enforcement agency or military law enforcement unit performing technical tasks (e.g., conducting research, reviewing information to identify and collect relevant information, creating reports, using computer systems and law enforcement databases to collect and analyze information specific to assigned task), plus two years of professional experience in conducting investigative case support or criminal intelligence analysis for a law enforcement agency. Knowledge, Skills, and Abilities required at this level include knowledge of procedures and techniques of business communication; of spelling and punctuation; of computer programs and applications; of basic presentation skills; and of specific analytical tools, software and resources used to identify individuals, organizations, criminal investigations, intelligence activities, and other criminal enterprises.
ul>Responsible for analysis of contracts and performing contract negotiations to include monitoring and reviewing existing contracts to ensure payment compliance, communicating and resolving contract issues both internal and external to the organization, and contributing to health system and individual contract negotiation strategies. Resolves programming issues related to rate and revenue codes operations through modification to yield maximum revenue potential for both physician and hospital contracts/reimbursement.
Oklahoma City, OK30+ days ago
nMINIMUM QUALIFICATIONS\n \nEducation and Experience requirements at this level consist of:\n\n A bachelor's degree in Data Science, Computer Science, Statistics, Business Analytics, Business Information Systems or a related field;\n AND, five (5) years' experience using SQL and Python for data analysis\n OR an equivalent combination of education and experience.\n Two (2) years of supervising experience is required.\n \nPREFERRED QUALIFICATIONS\n\n Certifications in relevant areas such as Certified Analytics Professional (CAP) or Certified Associate in Analytics (CAA).\n \nCurrent active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.\n \nIf you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information: \n \nAgency Contact\n\n.
Thus, as a religiously-controlled institution of higher education, Oklahoma Christian University is exempt from compliance with some provisions of certain civil rights laws, including some requirements of Title IX of the Education Amendments of 1972 and Title VII of the Civil Rights Act of 1974. OC is committed to hiring employees actively engaged in Christian discipleship as we strive to create an employment culture that encourages faculty and staff to lean into the university's Christian mission, emphasizing authenticity and unity, not uniformity.
Oklahoma City, Oklahoma10 days ago
Current OU Health Employees - Please click HERE to login.. They model the OU Health Way, as evident in their work output and interactions with employees and patients, through living OU Health’s core values of putting Patients First, pursuing Relentless Excellence, showing Integrity, seeking Inclusion for all staff and patients, always Learning, and valuing Teamwork.