Revenue Integrity Analyst

📋 Description

• Works collaboratively with clinical departments, coding, finance, and IT to address discrepancies.

• Engages with charge-generating departments to guarantee accurate and timely charge capture.

• Performs regular reviews of charges and documentation to pinpoint missed revenue opportunities.

• Aids clinical and operational teams in resolving charge discrepancies and denials associated with charge capture.

• Collaborates with clinical and operational sectors to assess new services or procedural enhancements.

• Executes root cause analysis and offers data-driven recommendations for revenue cycle departments.

• Delivers fundamental education to departments regarding charge capture expectations, regulatory updates, and revenue reconciliation.

⛳️ Requirements

• High school diploma or GED is required.

• A Bachelor’s degree in Business, Finance, Healthcare Administration, or a related field is preferred.

• Minimum of 3 years of experience in Financial Analysis, Healthcare Revenue Cycle, Revenue Integrity, or Reimbursement.

• Proficient in Microsoft 365 and other relevant software.

• Strong familiarity with Epic, including basic reporting tools, system navigation, and workflows.

• Working knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding Systems (HCPCS), revenue codes, Ambulatory Payment Classification (APC)/Diagnosis-Related Group (DRG) concepts, and payer billing regulations.

• Understanding of healthcare regulatory standards.

• Excellent organizational skills and attention to detail.

• Strong written and verbal communication skills that convey clear and concise information.

• Ability to analyze financial and operational data effectively to support decision-making.

• Capacity to work both independently and collaboratively in a fast-paced environment, managing multiple priorities with competing deadlines.

🏝️ Benefits

• None.