Revenue Integrity Analyst
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Job Description
Revenue Integrity Analyst responsible for charge capture, compliance and process optimization in a healthcare setting. Collaborating with departments to enhance billing accuracy and reduce waste in revenue cycles.
Responsibilities:
- Collaborating with individual departments to ensure charges are captured, entered, documented and reconciled timely and accurately.
- Working with departments to develop processes to eliminate billing edits related to the revenue integrity functions.
- Staying current on government regulatory changes and Federal and State proposals to change charging and reimbursement methodologies and payment systems.
- Developing, implementing and providing ongoing monitoring and education related to revenue integrity throughout the Revenue Cycle process.
- Developing processes which are designed to optimize and support revenue integrity, reduce risk and eliminate waste.
Requirements:
- Bachelor's degree preferred.
- An equivalent combination of education and experience from which comparable knowledge and abilities were acquired will be considered.
- CPT, ICD and/or HCPCS coding certification preferred, or ability to achieve within 12 months of hire.
- Minimum of two years’ experience in revenue cycle operations, specifically patient billing, HIM coding, charge description master (CDM) responsibility or healthcare environment.
- Minimum of two years’ prior history in health care data manipulation and analysis preferred.
- Working knowledge of healthcare charging and reimbursement with direct practical knowledge of Medicare, Medicaid and commercial insurance guidelines highly desired.
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