Revenue Integrity Analyst

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Capture, analyze, and report data to support Trinity Health leadership in enhancing operational efficiency.

• Conduct audits of departmental information, generate reports, and recommend process enhancements.

• Investigate, gather, and analyze data to pinpoint opportunities and formulate solutions.

• Collaborate on initiatives aimed at improving program efficiency and patient experience.

• Disseminate analytical reports.

• Utilize various system applications to conduct analyses, create reports, and develop educational resources.

• Research and compile data for ad-hoc operational projects and initiatives.

• Analyze data and deliver comprehensive summaries with graphical representations that highlight trends and propose solutions.

• Utilize program and operational data to define and showcase progress, ROI, and overall impacts.

• Ensure precise CPT and/or ICD-10 documentation for patient billing and educate colleagues and providers on correct documentation and coding practices.

• Maintain documentation for the charge capture process and assess adherence to processes for any missing charges.

• Collaborate with stakeholders regarding system change requests and process enhancements.

• Supervise charge reconciliation activities for assigned departments, which includes daily and monthly reconciliations.

• Offer guidance to clinical departments on daily reconciliations, supply charges, duplicate charges, documentation gaps, and charge discrepancies.

• Execute charge entry/capture, charge approvals, and quality reviews, which involve appending modifiers and verifying clinical documentation.

• Review quality reports for any missing, duplicate, or late charges; maintain reference logs and reporting tools.

• Assist with denial-related charge reviews through analysis of clinical documentation, root cause analysis, and educational efforts.

⛳️ Requirements

• High school diploma or GED is required.

• A minimum of one (1) to two (2) years of pertinent work experience in a hospital and/or Physician Practice environment.

• Familiarity with revenue cycle, billing, coding, and/or patient financial services.

• Experience working with current medical terminology, data entry, supply chain processes, and hospital and/or Medical Group practice operations.

• Background in hospital and/or Physician group practice revenue cycle front-end functions, such as patient registration.

• Understanding of billing and regulatory guidelines related to charging and other revenue cycle processes.

• Capability to assist clinical departments and/or physician practices with modifications to charging practices based on established guidelines.

• Coding credentials such as RHIA, RHIT, CCS, CPC/COC, AAPC, or other recognized coding credentials are preferred.

• Preference for Licensed Vocational Nurse/Licensed Practical Nurse licensure.

• CHC certification is preferred.

• CHRI certification/membership is strongly preferred.

🏝️ Benefits

• Remote work position available.

• Rotational weekend schedule: every 6 weeks.

• Equal opportunity employment.