Revenue Integrity Analyst

RCO Revenue Integrity Analyst

The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position will support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s).

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia, Vermont, Washington.

A video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.

Essential Functions

Analyzes data, develops reports, reviews trends and recommend enhancements as defined by the revenue practice leadership team.

Participates, researches and follows-up on topics presented at department and system-wide initiatives.

Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams' performance. Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits.

Provides education and guidance to revenue cycle and clinical operations on report development, charge capture accountability and revenue monitoring.

Performs extensive data mining, regulatory and payer policy review, abstracting of financial and clinical information from various sources.

Skills

Data Mining

Healthcare regulations

Health Insurance

Medical terminology

Communication

Detail-oriented

Problem solving

Data Analysis

Excel

Collaboration

Qualifications Required

Demonstrated experience in a role requiring attention to detail with excellent organizational and analytical skills.

Demonstrates flexibility and adaptability to change.

Demonstrates ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes.

Experience working closely with a multi-disciplinary team to optimize patient experience and operational success.

Preferred Bachelor's degree in finance, healthcare management, data science or related field from an accredited institution. Education is verified.

Proficient or certified with Epic clinical or billing applications

Demonstrated clinical or healthcare revenue cycle experience.

Physical Requirements Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs. Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately. Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc. For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location: Lake Park Building

Work City: West Valley City

Work State: Utah

Scheduled Weekly Hours: 40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$31.01 - $48.84