Revenue Integrity Analyst
University Medical Center of Southern Nevada
UMC Position
Position will be onsite in Las Vegas, NV and is not eligible for remote work. Employer-paid pension plan (Nevada PERS) competitive salary & benefits package.
As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada's highest level of care to promote successful medical outcomes for patients.
UMC is a Level I Trauma Center, home of the ONLY Verified Burn Center, and Transplant Center. In 2026, we became the FIRST and ONLY Magnet-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and superiority in patient care.
Position Summary: Maintains the chargemaster fee schedule in accordance with established coding practices and governmental regulatory requirements. Conducts quality control audits and review charge capture clinical workflows for missed revenue opportunities. Creates action plans for capturing missed revenue. Identifies edits in patient management/billing software that impacts billing accuracy. Ensures CPT, HCPCS and revenue codes are accurate and compliant with all charging and billing guidelines. Serves as a liaison between Revenue Cycle and clinical operations and information technology regarding revenue, compliance, and clinical workflow build.
Job Requirement
Education/Experience: Graduation from an accredited school of nursing or equivalent to a Bachelor's Degree in healthcare, finance or a closely related field and three (3) years experience in reviewing hospital charge capture, medical records, clinical charts, regulatory and policy compliance, and/or claims auditing.
Licensing/Certification Requirements: Valid state license as a Registered Nurse or certification in one of the following: Certified Professional Coder (CPC), Certified Coding Specialist - Physician based (CCS-P), Certification in Healthcare Revenue Integrity (CHRI), or the ability to obtain certificate within one (1) year of employment. Failure to obtain and/or maintain licensure will result in termination of employment.
Additional Position Requirements
- 1-2 Years of Outpatient Procedural Coding experience
- 2 Years of maintaining CDM
- Experience using Epic
- Experience in Revenue Cycle Management
- Experience in Revenue Integrity
- Knowledge of CPT, HCPCS and Revenue Codes
Vacancy posted 15 days ago
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