Revenue Integrity Analyst

Revenue Integrity Analyst FT Grand River Health | Rifle, CO

At Grand River, we are more than a hospital - we are neighbors taking care of neighbors proudly serving residents of Western Colorado and beyond. Our supportive culture is built on respect, friendliness, and a shared commitment to exceptional patient care.

What You'll Do

This position supports the Revenue Cycle as a whole, ensuring accurate registration, documentation, charge capture, billing, and payment processes while identifying opportunities to improve revenue integrity.

Responsibilities include:

• Review charges and clinical documentation prior to billing to ensure accuracy, compliance, and charge capture integrity.
• Partner with providers, staff, and department leaders to implement best practices for charging, coding, documentation, and billing.
• Maintain the integrity of the Charge Description Master (CDM), including coordinating regular reviews of CPT changes and compliance requirements.
• Coordinate retrospective, concurrent, patient complaint, and external billing audits; document findings, support appeals, and provide monthly audit reporting.
• Analyze denial and unclean claim trends, identify process improvement opportunities, and develop educational in-services related to documentation, charging, and billing.
• Perform a variety of tasks and other duties as assigned.

Who We're Looking For

We're looking for a detail-oriented professional with healthcare experience and an interest in revenue cycle, clinical documentation, and compliance. The ideal candidate communicates effectively, learns quickly, and can build strong relationships while maintaining accuracy and confidentiality.

Qualifications include:

• Bachelor's degree in a related field preferred.
• High school diploma or equivalent preferred; LPN, RN, RHIA, RHIT, CCS, or related certification preferred.
• 0–6 years of healthcare experience required; experience in case management, clinical services, coding, or clinical documentation preferred.
• Strong verbal and written communication, interpersonal, problem-solving, and customer service skills.
• Working knowledge of Microsoft Word, Excel, Outlook, medical terminology, HIPAA, patient confidentiality, and healthcare reimbursement methodologies.
• Strong attention to detail with the ability to maintain accuracy, learn new processes, retain information, and adapt to new tasks and software.

What We Offer

Our total rewards package includes:

• Pay Range: $27.79-$42.02/hour (based on experience)
• Comprehensive Benefits: Medical, dental, vision, PTO from day one, extended illness time, retirement plan with match, and more.
• Perks: Payroll deductions for hot springs, gyms, ski passes, pet insurance, access to outdoor recreation, and more!

Compensation may vary outside this range depending on a number of factors, including a candidate's qualifications, skills, competencies and experience.

Position is open until filled unless posted otherwise.

Why Join Grand River Health? As a special taxing district, we are accountable to our community, allowing us to prioritize exceptional patient-centered care over financial bottom lines. Our main hospital campus is located in picturesque Rifle, Colorado with twenty-five beds providing a wide range of services, along with a long-term care center and a satellite campus. While the secret is out that this is a great place to live, the atmosphere of a caring and friendly community has been preserved amidst a steady growth of population.

OUR MISSION: To improve the health and well-being of the communities we serve.

OUR VISION: To be our communities' first choice in quality healthcare.