Careers

BESLER is a nationally recognized financial and operational firm. We are an established market leader with over 30 years’ experience in healthcare financial management. We offer the best combination of healthcare financial expertise and stable employment opportunities. We have enjoyed remarkable growth within the industry and continue to strengthen our leadership position.

We are currently seeking an Inpatient DRG Validation & Coding Analyst. This position has the ability to work remote.

*****Please submit a resume when you apply.*****

RESPONSIBILITIES:

• 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.
• Responsible for reviewing inpatient coding (ICD-10-CM and ICD-10-PCS codes) to ensure accuracy and completeness of records coded by the coding staff for multiple clients.
• Validate the ICD-10-CM and PCS codes, principal and secondary diagnoses.
• Assignment appropriateness to ensure consistency and efficiency and to optimize DRG reimbursement and facilitate data quality in hospital inpatient services.
• Review physician documentation for specificity, completeness, and quality to support coding accuracy, and to identify physician query opportunities to improve the documentation.
• Maintains current knowledge of regulatory agencies standards, i.e., CMS, OIG, AHA, Coding Clinics, etc.
• Maintain required coding credential(s).
• 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 developing coding education and training and institutional coding policies to achieve coding excellence and to enhance internal, proprietary software used as an analytical tool.
• Carry out all other ad hoc requests as determined by business needs.
• Travel to client sites 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 Coding IP Claims.
• Experience with Medicare and Medicaid DRGs.
• Experience with DRG validation.
• Experience with OP coding a plus.
• Strong coding knowledge and follow the official coding rules, guidelines, and conventions to validate coded data and ensure high quality and compliance with regulatory requirements.
• 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 a plus, CCS credential required.

BESLER is a great place to work! We offer a competitive salary and comprehensive benefits.

Benefits include:

• Medical/ Dental/ Prescription/ Vision – Start on Date of Hire
• Paid Time Off
• 401(k) Retirement Plan
• Company Paid Life Insurance
• Medical and Dependent Care FSA
• Tuition Reimbursement
• Flexible Work Schedule

BESLER is an equal opportunity employer. We recruit, employ, compensate, promote and train without regard to race, color, creed, religion, national origin, sex, marital status, pregnancy, disability, sexual orientation, veteran status, age, FMLA status or any other basis protected by law.

Interested applicants should submit their credentials to employment@besler.com for consideration.

BESLER is a nationally recognized financial and operational firm. We are an established market leader with over 30 years’ experience in healthcare financial management. We offer the best combination of healthcare financial expertise and stable employment opportunities. We have enjoyed remarkable growth within the industry and continue to strengthen our leadership position.

We are currently seeking Manager for our Revenue Integrity Service Team with experience in validation and rule design. This position has the ability to work remote.

*****Please submit a resume when you apply.*****

RESPONSIBILITIES:

• Design and implement complex validation rules and edits within the revenue integrity platform.
• Analyze claims data, identify trends, and develop proactive strategies to mitigate potential revenue leakage and ensure accurate reimbursement.
• Conduct regular audits and reviews of claims data to ensure accuracy and compliance.
• Provide training and guidance on revenue integrity processes, coding guidelines, and validation rules.
• Analyze revenue integrity data to identify trends, measure key performance indicators (KPIs), and generate reports for management.
• Utilize data analytics tools to identify areas of risk and opportunities for improvement.
• Participate in and lead cross-functional projects related to revenue integrity initiatives.
• Assists leads in preparing material for client meetings.
• Reviews rejections with team to prepare rebuttal if assistance is needed.
• Take the lead to demonstrate the product to the new client and any new releases.
• Prepare white papers, material for podcasts and webinars on behalf of the organization.
• Support and engage in education presentations (both face-to-face and remotely) associated with audit and review activities.

EDUCATION and EXPERIENCE:

Demonstrated abilities and experience in the following areas:

• Bachelor of Science degree in a related field. Associates in health information technology, minimally acceptable.
• CCDS or CDIP and CCS credential required.
• A minimum, 5+ years’ experience with inpatient coding/billing.
• 5+ years of experience in healthcare revenue cycle management, with a strong focus on revenue integrity.
• 3+ years of experience in managing and developing revenue integrity teams.
• Demonstrates competency in use of computer applications including abstracting and encoding software.
• Strong analytical and problem-solving skills with the ability to analyze complex data and identify trends.
• DRG grouper software, MS office and hospital information systems.
• Experience with revenue cycle management in a large healthcare organization.
• Expertise in healthcare coding (ICD-10, CPT, HCPCS) and reimbursement methodologies.
• Knowledge of ICD-10 required; ICD-10 Trainer experience highly desired.
• Excellent oral, written and presentation skills, including the ability to communicate with high-level management.
• Ability to synthesize regulatory requirements and apply to business projects/activities on a regular basis.
• Ability to comprehend and apply applicable healthcare regulations.
• Experience in Rule making and automating processes.
• Proficient in Payer timely filing periods.
• Understanding of EOB and hospital billing form (UB-04) requirements.
• Proficient in Microsoft Excel (experience using Microsoft Access is a plus).

BESLER is a great place to work! We offer a competitive salary and comprehensive benefits.

Benefits include:

• Medical/ Dental/ Prescription/ Vision – Start on Date of Hire
• Paid Time Off
• 401(k) Retirement Plan
• Company Paid Life Insurance
• Medical and Dependent Care FSA
• Tuition Reimbursement
• Flexible Work Schedule

BESLER is an equal opportunity employer. We recruit, employ, compensate, promote and train without regard to race, color, creed, religion, national origin, sex, marital status, pregnancy, disability, sexual orientation, veteran status, age, FMLA status or any other basis protected by law.

Interested applicants should submit their credentials to employment@besler.com for consideration.

BESLER is a nationally recognized financial and operational firm. We are an established market leader with over 30 years’ experience in healthcare financial management. We offer the best combination of healthcare financial expertise and stable employment opportunities. We have enjoyed remarkable growth within the industry and continue to strengthen our leadership position.

We are currently seeking an Inpatient Coder. This position has the ability to work remote.

*****Please submit a resume when you apply.*****

RESPONSIBILITIES:

• Review patient medical records to assign appropriate ICD-10-CM and ICD-10-PCS codes for diagnoses and procedures
• Interact with Coding Managers, CDI and other healthcare professionals to clarify diagnoses or to obtain additional information
• Adheres to Coding guidelines as printed in Official Coding Guidelines and AHA Coding Clinic.
• Communicate consistently with all project team members and general BESLER colleagues regarding the status and results of service line business operations.
• Carry out all other ad hoc requests as determined by business needs
• Performs other duties as assigned.
• Maintain all professional credentials, as necessary to maintain the requirements of the position.

EDUCATION and EXPERIENCE:

Demonstrated abilities and experience in the following areas:

• CCS credential required – having achieved this at least 4 years prior to application for position.
• RHIA or RHIT preferred.
• A minimum of 3 to 5 years of Inpatient coding experience.
• Demonstrates competency in use of computer applications in EHR (i.e. Cerner, Epic, Meditech, etc.) and knowledge in Coding software.
• Demonstrated knowledge in hospital/healthcare settings such as revenue cycle, coding, and reimbursement.
• Knowledge of ICD-10-CM and ICD-10-PCS required.
• Excellent oral and written communication skills, including the ability to interact with high level of management.
• Detail oriented and able to meet targeted deadlines.
• Good interpersonal skills.
• Ability to comprehend and apply applicable healthcare regulations.
• Able to multitask, be flexible, remain composed under pressure, support teammates, and think critically.

BESLER is a great place to work! We offer a competitive salary and comprehensive benefits.

Benefits include:

• Medical/ Dental/ Prescription/ Vision – Start on Date of Hire
• Paid Time Off
• 401(k) Retirement Plan
• Company Paid Life Insurance
• Medical and Dependent Care FSA
• Tuition Reimbursement
• Flexible Work Schedule

BESLER is an equal opportunity employer. We recruit, employ, compensate, promote and train without regard to race, color, creed, religion, national origin, sex, marital status, pregnancy, disability, sexual orientation, veteran status, age, FMLA status or any other basis protected by law.

Interested applicants should submit their credentials to employment@besler.com for consideration.