Revenue Integrity Analyst

Job Description 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. Service Areas Emergency/Trauma, Transport, Behavioral Health, Transplant, Donor BMT, Sleep, EEG/EMG, Respiratory/PFT Schedule Monday – Friday, 8:00 AM – 5:00 PM (with some flexibility) Responsibilities Analyze data, develop reports, review trends and recommend enhancements as defined by the revenue practice leadership team. Perform extensive data mining, mentoring/training, regulatory and payer policy review, abstracting financial and clinical information from various sources. Present, research, and follow‑up on topics reviewed at department and system‑wide initiative levels. Monitor coding, charge capture, and editing processes to improve team performance; research and stay current on CMS, federal and state regulations, payer guidelines to ensure compliance and alignment with charge, coding and charge edits. Audit and evaluate system automation by comparing charge/claim data to the clinical record and leveraging other system functionalities to expedite claim processing for compliant and optimized hospital accounts. Evaluate, provide education and guidance to revenue cycle, revenue practice teams and clinical operations on report development, charge capture accountability and revenue monitoring. Mentor and support training of other revenue integrity analysts. Skills Data Analysis Healthcare Regulations Process Improvement Health Insurance CMS problem resolution Data Mining Excel Collaboration Epic Qualifications Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. Experience in a role requiring attention to detail with excellent organizational and analytical skills. Demonstrated proficiency with Epic clinical and/or billing applications. Demonstrates ability to be flexible and adaptable to change. Ability to work effectively in a clinical operational area and/or a revenue integrity team supporting department outcomes. Experience working closely with a multidisciplinary team to optimize patient experience and operational success. Demonstrated advanced knowledge of regulation, payer policy, charge capture and/or revenue monitoring. Preferred: Bachelor’s degree in healthcare administration, medical, or analytical field from an accredited institution. Education verified. Proficient or certified with Epic clinical or billing applications. Physical Requirements Ongoing need to see and read information, identify equipment and supplies, and assess customer needs. Frequent verbal communication with providers, colleagues, customers, patients/clients and visitors. Manual dexterity for precise handling of supplies and equipment, including frequent computer use for typing and accessing information. Driving is required for roles that involve driving. Work Location Lake Park Building, West Valley City, Utah Schedule & Compensation 40 hours per week. Hourly rate $37.31 – $58.75, depending on experience. Equal Opportunity Employer Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. #J-18808-Ljbffr