Revenue Integrity Analyst II

Overview This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient\'s account within Intermountain\'s policies and procedures. Responsibilities Analyze data, develop reports, review trends, and recommend enhancements as defined by the RI leadership team. Proactively identify positive or negative trends in charge/coding capture and editing processes to facilitate sharing of best practices and performance improvement opportunities. Understand and assist in other areas of the revenue cycle to support the quality and compliance of charges and documentation. Participate in, research, and follow-up on topics presented at department and system-wide initiatives, including audits and reviews for government, commercial, and third-party payers. Monitor the status of RI activities using a defined tracking system, ensuring timely responses and collaborating with care site teams, external business partners/vendors, compliance, legal counsel, health information management, and other involved parties. Assist the manager with interviews, onboarding, monitoring and measuring goals, annual reviews, and metric design activities. Coordinate and oversee orientation and training for new and established associates and partners, validate competency, and perform retraining as needed. Oversee productivity, vacation coverage, and work assignments. Stay current in specific areas of focus. Provide education and guidance to service line leadership, providers, and front-line clinical associates regarding updates to charging/coding/NCCI regulations and/or errors, and regarding audits and appeals to facilitate corrective action planning for improved processes. Ensure compliance with CMS, federal and state regulations and payor guidelines, and apply charge/coding capture, charge editing, and audit/reimbursement practices consistently. Research and implement regulation updates in daily workflows. Ensure timely accuracy of revenue capture for specific service line(s), including validation that documentation supports charges submitted and that charges/coding align with the performed procedure and with applicable guidelines. Serve as a subject matter resource to the team and escalate to leadership as needed. Support SCL and future acute care sites with Epic and downstream systems, upgrades, and new functionality. Promote the mission, vision, and values of SCL Health and abide by service behavior standards. Performs other duties as assigned. Minimum Qualifications Associates Degree in a healthcare-related field or two (2) years of prior experience leading others or leading projects/programs. Certified Revenue Cycle Representative (CRCR) certification completed within 3 months of hire. Plus one of the following certifications: current certification as a coder through AAPC, AHIMA, or HFMA. Three (3) years of direct related experience in revenue cycle operations in an acute and medical office setting. Preferred Bachelor\'s Degree is preferred. Proficiency in EPIC is preferred. Prior educator, preceptor, or trainer experience is preferred. Requirements and Work Details Location: Lake Park Building Work City: West Valley City Work State: Utah Scheduled Weekly Hours: 40 #J-18808-Ljbffr Intermountain Health