Revenue Integrity Analyst

Role Description

Responsible for improving the charge capture, reimbursement, and quality of the revenue cycle through the support and management of revenue cycle applications, process automation, Charge Description Master, Claims, analysis, reporting, clinical and departmental integration, and performance of compliance, contract payment, and denials auditing.

• Optimization and troubleshooting of revenue cycle applications
• Collaboration with clinical, operational, supporting departments, applicable stakeholders, for development of integrated design solutions
• Analysis of available data to support Revenue Cycle team initiatives in identification, definition, resolution planning, and implementation for system & user deviations, inconsistencies, and process failures
• Serves as an internal resource on a combination of the topics of registration, authorizations, coding, CDI, CDM management, claims, edits, billing compliance, denials, remittance processing, and/or reporting & analytics
• Workflow analysis
• Payer contract analysis and ensuring payments consistent with negotiated contracts
• Identification of root causes of issues driving controllable denials, partnering with finance leadership to address implicated operational issues, workflow issues, and training gaps
• Performs quality assurance and validation tasks
• Provides education and guidance to patient revenue generating departments/providers to ensure appropriate charge capture

Qualifications

• Required Certifications

Benefits

• Generous benefits including retirement
• Paid time off
• Paid parental leave
• Health insurance
• Dental and vision benefits
• Life insurance
• Long and short-term disability
• More