Revenue Integrity Analyst
GovernmentJobs.com
Revenue Integrity Analyst
The Revenue Integrity Analyst plays a critical role in supporting the financial health and regulatory compliance of Ventura County Medical Center, Santa Paula Hospital, and affiliated ambulatory clinics. Under the general direction of the Revenue Integrity Manager, the incumbent performs advanced analytical, consultative, and project leadership work to support the County's Revenue Integrity Program. This position serves as a subject matter resource for Chargemaster (CDM) governance, charge capture, reimbursement, coding, billing, regulatory compliance, and revenue cycle improvement initiatives.
The Revenue Integrity Analyst exercises a high degree of independent judgment while partnering with clinical departments as well as Finance, Patient Financial Services, Compliance, Health Information Management, Informatics, Pharmacy, and executive leadership to evaluate operational processes, optimize reimbursement, promote regulatory compliance, and reduce organizational financial risk. The position also supports the implementation of new clinical services, operational initiatives, and system enhancements that improve revenue cycle performance across the health system.
The ideal candidate is a collaborative healthcare revenue cycle professional with strong analytical abilities and experience interpreting complex reimbursement and regulatory requirements. They possess a solid understanding of healthcare coding, billing, charge capture, and reimbursement methodologies and are skilled at translating technical requirements into practical operational solutions. The successful candidate is comfortable working with multidisciplinary teams, managing multiple priorities, developing data-driven recommendations, and communicating effectively with physicians, operational leaders, and executive leadership. Experience supporting Revenue Integrity initiatives, Chargemaster (CDM) management, reimbursement analysis, healthcare process improvement, and regulatory compliance is highly desirable.
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