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Revenue Integrity Analyst I

Jobtailor

Responsibilities Supports revenue integrity operations by analyzing billing edits, identifying charge capture issues, and assisting with payer compliance activities. Partners with operational, coding, and compliance teams to ensure accurate billing, reduce denials, and strengthen documentation practices. Provides analytic and operational support for assigned service lines and participates in systemwide revenue improvement initiatives. Assists in investigating recurring billing edits, charge discrepancies, and documentation risks. Escalates complex findings to Analyst II or Manager. Supports charge capture reviews by collecting data, validating results, and assisting departments with improvement recommendations. Prepares standard reports and dashboards on denial trends, charge lag, missed charges, and other revenue integrity performance indicators. Assists with payer and internal audits, including gathering documentation and supporting corrective action plan development. Works with Compliance and CDM teams to monitor basic risk areas and assist in implementing billing corrections. Provides day‑to‑day analytic support for assigned service lines, escalating complex revenue integrity issues to senior analysts or managers. Participates in meetings with operational leaders to review key findings and share opportunities for revenue integrity improvement. Regularly required to sit, use standard office equipment, and work with computer systems. Requires manual dexterity, visual acuity, and verbal communication skills. Requirements Three (3) years of experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis and certification or progress toward one of the certifications listed below. Bachelor’s degree in Finance, Healthcare Administration, Business, Nursing, or related field in lieu of experience and certifications. AHIMA‑CCS or AAPC‑CPC or CMC or AHIMA‑RHIT or AHIMA‑RHIA in lieu of Bachelor’s degree. Basic knowledge of healthcare billing, coding, and reimbursement methodologies. Proficiency with Microsoft Excel and ability to work with data sets. Familiarity with Epic or other revenue cycle platforms preferred. #J-18808-Ljbffr Jobtailor

Vacancy posted 1 day ago
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