Revenue Integrity Analyst
Revenue Integrity Analyst
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Job Description
Were looking for a Revenue Integrity Analyst someone whos ready to grow with our company. In this position you will lead manage and/or participate in all Revenue Integrity related projects as assigned by the Director. This incumbent is also responsible for leading and/or supervising initiatives to improve or optimize efficiency while serving both internal and external customers.
Think youve got what it takes
Job Duties & Responsibilities
Edit and exception resolution. Resolves or coordinates the resolution of charge session edits including DNB revenue guardian edits denials and audits on a timely basis.
Apply coding payer and charge capture conventions to compliantly resolve edits
Identifies opportunities for capturing additional revenue in accordance with payer guidelines
Keeps edits and exceptions within targets as assigned by leadership
Coordinates efforts for resolution with all Revenue Cycle Departments as appropriate
Communicates with clinical departments when needed to assist in edit resolution
Evaluates edits to determine potential opportunities for automated resolution
Maintains high productivity and quality with minimal supervision over assigned work queues
Develops measures to track trend and monitor charge sessions and account resolutions including audits and denials.
Provides consistent and clear feedback to the Revenue Integrity Team Revenue Cycle Counterparts and Hospital Operations and Providers
Track and trend defense audits
Identify and monitor departments with charge capture and denial issues and develop processes for improvement.
Serve as the contact and advocate to assigned Service Line leadership for all revenue cycle processes and workflows.
Skills & Requirements
Required H.S. Diploma or GED HSD must be accompanied by a certification or bachelors degree
Required Certifications (must hold one of the following):
oCHRI - Certified Healthcare Revenue Integrity Professional by the National Association of Healthcare Revenue Integrity (NAHRI)
oCRCR - Certified Revenue Cycle Representative by the Healthcare Financial Management Association (HFMA)
oCHFP - Certified Healthcare Financial Professional by the Healthcare Financial Management Association (HFMA)
oCSAF - Certified Specialist Accounting & Finance by the Healthcare Financial Management Association (HFMA)
oCPC - Cert-Cert Professional Coder by the American Academy of Professional Coders (AAPC)
oRHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA)
oRHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA)
oCCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA)
oCCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA)
oCOC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC)
Required 4 years Revenue Cycle experience including but not limited to Revenue Integrity Billing Coding Denials Follow-Up Patient Accounts and/or Refunds experience
Required Experience:
IC
Employment Type
Full-Time
