Revenue Integrity Analyst

Duties:

-Serves as the principal point of contact for charging related issues.
-Responsible for managing, coordinating, and implementing all edits to the chargemaster.
-Works closely with clinical departments to educate in charge capture and pricing.
-Implements annual price increase and coordinates Medicare OPPS updates.
-Makes recommendations relative to compliance concerns related to charging practices.
-Analyzes and resolves specific billing edits/errors that are delaying claims for processing in EPIC.
-Ensures revenue routes to the correct cost center, audits for missing charges and late charges.
-Reports and tracks Epic charge-related issues for resolution.
-Coordinates to Finance team any productivity (RVU) revisions as impacted by CDM changes.
-Creates policies and procedures related to hospital charge practices.
-Perform other duties as assigned.

Skills:

Required Skills & Experience:
-3-5 years' experience in a healthcare environment with emphasis on chargemaster and revenue capture.
-Applicant has a general understanding of outpatient Medicare reimbursement methodologies, including CPT/HCPC and UB Revenue Coding.
-General knowledge of healthcare Revenue Cycle operations.
-Computer technical skills with Microsoft Office Excel.
-EPIC knowledge a plus.
-Proven excellent communication and customer service skills, including the ability to progressively investigate, analyze and identify sources of problems, provide practical solutions, and resolutions.
-Ability to make independent business decisions, considering both the impact to client satisfaction and overall financial impact for the department and organization.
-Ability to streamline processes for efficiency.
-Strong analytical aptitude and experience creating financial analysis.
-Possesses good sense of general business acumen.

Preferred Skills & Experience:
-N/A

Education:

Required Education:
-N/A

Preferred Education:
-Bachelor's degree preferred, in business administration, finance, accounting, or healthcare administration.

Required Certifications & Licensure:
-N/A

Preferred Certifications & Licensure:
-N/A

Job Type: Full-time

Pay: $30.00 - $36.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Work setting:

• Remote

Education:

• Bachelor's (Preferred)

Experience:

• Healthcare Revenue Cycle operations: 3 years (Required)
• Chargemaster: 3 years (Required)
• Revenue Capture: 3 years (Required)
• Medicare reimbursement: 1 year (Required)
• CPT/HCPC & UB revenue coding: 1 year (Required)
• Epic: 1 year (Required)

Work Location: Remote