Revenue Integrity Analyst
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Job Description
Revenue Integrity Analyst optimizing charge capture, coding, and claims for Intermountain Health. Analyzing healthcare data and regulations to improve compliance and revenue.
Responsibilities:
- Analyze data, develop reports, review trends, and recommend enhancements defined by the revenue practice leadership team
- Participate in, research, and follow up on department and system-wide initiatives
- Monitor positive or negative trends in coding, charge capture, and/or editing processes to improve team performance
- Research and stay current on CMS, federal and state regulations, and payer guidelines
- Ensure compliance and alignment with charge, coding, and charge-edit processes
- Provide education and guidance to revenue cycle and clinical operations on report development, charge capture accountability, and revenue monitoring
- Perform extensive data mining, regulatory and payer policy review, and abstract financial and clinical information from various sources
- Support appropriate charge capture, assigned accounts, claim edits, and/or charge edits for an assigned service line
- Maintain consistent charge capture or charge edits for regulatory compliance and revenue optimization
Requirements:
- Demonstrated experience in a role requiring attention to detail with excellent organizational and analytical skills
- Flexibility and adaptability to change
- Ability to work effectively in a clinical operational area and/or revenue integrity team
- Experience working closely with a multi-disciplinary team to optimize patient experience and operational success
- Bachelor’s degree in finance, healthcare management, data science or related field from an accredited institution preferred
- Education is verified
- Proficient or certified with Epic clinical or billing applications
- Demonstrated clinical or healthcare revenue cycle experience
- Ability to see and read information, labels, documents, monitors, identify equipment and supplies, and assess customer needs
- Ability to verbally communicate and hear and understand spoken information quickly and accurately
- Manual dexterity and frequent computer use
- For roles requiring driving, ability to drive a vehicle and read traffic signs and signals
Benefits:
- Generous benefits package covering programs for well-being, wellness, health, security, connection, and engagement
- Company equipment and remote work support subject to company policies
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