Revenue Integrity Analyst
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Job Description
Revenue Integrity Analyst collaborating with various departments to resolve discrepancies in revenue capture and ensure compliance. Engage with clinical teams to optimize reimbursement processes.
Responsibilities:
- Collaborates with clinical departments, coding, finance, and IT to resolve discrepancies
- Partners with charge generating departments to ensure accurate, timely charge capture
- Conducts routine reviews of charges and documentation to identify missed revenue
- Assists clinical and operational teams with the resolution of charge discrepancies and denials related to charge capture
- Partners with clinical and operational areas to evaluate new services or procedural updates
- Conducts root cause analysis, providing data-driven recommendations for revenue cycle departments
- Provides basic education to departments regarding charge capture expectations, regulatory updates, and revenue reconciliation.
Requirements:
- High school diploma or GED
- Bachelor’s degree in Business, Finance, Healthcare Administration, or related field, preferred
- Minimum 3 years of Financial Analysis, Healthcare Revenue Cycle, Revenue Integrity, or Reimbursement experience
- Knowledge of Microsoft 365 and other applicable software
- Strong knowledge of 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 rules
- Knowledge of healthcare regulatory requirements
- Strong organizational skills and attention to detail.
- Excellent communication skills, both written and verbal that present clear and concise information
- Sound ability to analyze financial and operational data to support decisions
- Ability to work independently and collaboratively in a fast-paced environment, managing multiple priorities with competing deadlines.
Benefits:
- None.
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