Revenue Integrity Analyst
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Job Description
Revenue Integrity Analyst at Shriners Children’s managing charge capture and ensuring regulatory compliance. Collaborating with clinical staff on documentation improvements and audits for compliant billing processes.
Responsibilities:
- Ensure all items and services charged through the Charge Description Master (CDM) are described, coded, and priced appropriately
- Educate ancillary departmental and clinical staff on required changes for regulatory and payor changes
- Conduct charge capture assessment activities including interviews, research, and outcomes analysis
- Provide analysis, documentation, and recommendations for changes to the CDM
- Maintain communication with revenue departments regarding operational opportunities
- Collaborate with department managers and staff to identify areas of deficiency and develop process improvements
- Document all changes and revisions to CDM using appropriate software
- Perform audits focusing on revenue cycle integrity
- Develop ongoing education programs on charge capture and billing processes for staff members
Requirements:
- 1-3 years of experience performing CDM related activities
- Experience with CPT-based coding principles from both inpatient and outpatient reimbursement perspective
- Experience with UB-04, MA claim form, and HCFA-1500 charge development process
- Associate's Degree in business/accounting/finance or healthcare business administration - or combination education and experience considered in lieu of degree
- Epic EMR required
Benefits:
- Health insurance coverage from first day
- 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service
- Paid time off
- Life insurance
- Short term and long-term disability
- Flexible Spending Account (FSA) plans
- Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected
- Tuition reimbursement
- Home & auto insurance
- Hospitalization coverage
- Critical illness insurance
- Pet insurance and much more!
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