Revenue Integrity Analyst

Revenue Integrity Analyst Job Description Template

Our company is looking for a Revenue Integrity Analyst to join our team.

Responsibilities:

  • Reviews, researches and documents trends with a focus on identifying charging and documentation opportunities. (20%);
  • Works with IT to implement changes and improvements in the charge automation system. Maintains and updates all charge master related software;
  • Performs other duties and responsibilities as assigned;
  • Compile information and/or prepare reports and analyses setting forth results of reviews with appropriate recommendations and conclusions.(10%);
  • Analyzes billing error and denials data to resolve accounts and identify root causes. (20%);
  • Assists with the review and maintenance of codes in the CDM for accuracy;
  • Activities related to Revenue Integrity coding modifiers, charging guidelines, and billing edits to maximize reimbursement for services. (20%);
  • Works closely with Revenue Cycle teams to resolve rejections and denials. (10%);
  • Follows up with appropriate health team members to ensure accurate and complete documentation in the medical record.

Requirements:

  • Collaborate with the Learning Center to broadcast RAC Monitor and other pertinent webinars/training sessions 5%
  • Assess training needs through surveys, interviews with employees, focus groups, or consultation with managers, or customer representatives 10%
  • Performs other duties and responsibilities as assigned;
  • Obtain, organize, or develop training procedure manuals, guides, or course materials, such as handouts or visual materials. 10%
  • Works with IT to implement changes and improvements in the charge automation system. Maintains and updates all charge master related software;
  • Monitor, evaluate, or record training activities or program effectiveness. 5%
  • Assists with the review and maintenance of codes in the CDM for accuracy;
  • Evaluate modes of training delivery, such as in-person or virtual to optimize training effectiveness, training costs, or environmental impacts. 10%
  • Follows up with appropriate health team members to ensure accurate and complete documentation in the medical record.