Revenue Integrity Analyst

SouthEast Alaska Regional Health Consortium (SEARHC)

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About The Position

This role is responsible for improving charge capture, reimbursement, and the overall quality of the revenue cycle. This is achieved through the support and management of revenue cycle applications, process automation, Charge Description Master (CDM), claims analysis, reporting, and integration with clinical and departmental functions. The position also involves performing compliance, contract payment, and denials auditing. SEARHC is a non-profit health consortium dedicated to serving the health interests of Southeast Alaska residents. The organization values its employees, prioritizing their professional development and advancement. Working at SEARHC is described as a fulfilling career, offering competitive benefits and a positive work culture. SEARHC is passionate about enhancing the health and wellbeing of its team and the communities it serves, embodying values of Respect, Cultural Identity, Service, Professionalism, and Compassion.

Responsibilities

• Optimization and troubleshooting of revenue cycle applications
• Collaboration with clinical, operational, supporting departments, applicable stakeholders, for development of integrated design solutions
• Analysis of available data to support Revenue Cycle team initiatives in identification, definition, resolution planning, and implementation for system & user deviations, inconsistencies, and process failures
• Serves as an internal resource on a combination of the topics of registration, authorizations, coding, CDI, CDM management, claims, edits, billing compliance, denials, remittance processing, and/or reporting & analytics
• Workflow analysis
• Payer contract analysis and ensuring payments consistent with negotiated contracts
• Identification of root causes of issues driving controllable denials, partnering with finance leadership to address implicated operational issues, workflow issues, and training gaps
• Performs quality assurance and validation tasks
• Provides education and guidance to patient revenue generating departments/providers to ensure appropriate charge capture

Benefits

• retirement
• paid time off
• paid parental leave
• health insurance
• dental benefits
• vision benefits
• life insurance
• long and short-term disability
• sign-on bonuses for Registered Nurses, Hot Jobs and Certified Nurses Assistants

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees