Revenue Integrity Analyst I

Intermountain Health • Lake Park, IA

7d • $31 - $49 • Onsite

About The Position

The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position will support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). This position will serve Rehab (PT, OT, SLP), Audiology, Hospital-Owned Clinics, Cardiac Rehab, Dialysis, Lab, and Telehealth. The analyst will analyze data, develop reports, review trends, and recommend enhancements as defined by the revenue practice leadership team. They will participate, research, and follow-up on topics presented at department and system-wide initiatives. The role involves monitoring for positive or negative trends in coding, charge capture, and/or editing processes to improve team performance. Additionally, the analyst will research and stay current on CMS, federal and state regulations, and payor guidelines, ensuring compliance and alignment with charge, coding, and charge edits. They will provide education and guidance to revenue cycle and clinical operations on report development, charge capture accountability, and revenue monitoring. The position also requires performing extensive data mining, regulatory and payer policy review, and abstracting of financial and clinical information from various sources.

Requirements

• Demonstrated experience in a role requiring attention to detail with excellent organizational and analytical skills.
• Demonstrates flexibility and adaptability to change.
• Demonstrates ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes.
• Experience working closely with a multi-disciplinary team to optimize patient experience and operational success.
• Data Mining
• Healthcare regulations
• Health Insurance
• Medical terminology
• Communication
• Detail-orientated
• Problem solving
• Data Analysis
• Excel
• Collaboration

Nice To Haves

• Bachelor’s degree in finance, healthcare management, data science or related field from an accredited institution.
• Experience with Rehab (PT, OT, SLP), denials, and hospital based clinics.
• Proficient or certified with Epic clinical or billing applications
• Demonstrated clinical or healthcare revenue cycle experience.

Responsibilities

• Analyzes data, develops reports, reviews trends and recommend enhancements as defined by the revenue practice leadership team.
• Participates, researches and follows-up on topics presented at department and system-wide initiatives.
• Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams' performance.
• Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits.
• Provides education and guidance to revenue cycle and clinical operations on report development, charge capture accountability and revenue monitoring.
• Performs extensive data mining, regulatory and payer policy review, abstracting of financial and clinical information from various sources.

Benefits

• Generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level