Revenue Integrity Analyst (Hybrid)

University Health • Northpoint, TN

28d • Hybrid

About The Position

The Revenue Integrity Analyst manages the revenue integrity process to ensure accurate and timely changes are captured and performs duties related to compliance in charging for patient services and supplies. The role reviews the Charge Description Master for completeness and establishes charges for patient-related services, procedures, and supplies. It oversees the APC program by implementing changes and educating staff. The analyst works independently, provides consultation to departments and entities, and receives work from the Manager of Revenue Cycle.

Requirements

• Bachelor’s degree in business, or an equivalent combination of education and accumulated relevant experience.
• Possess and maintain one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H.
• Experience auditing medical procedure codes for accuracy and completeness.
• At least three years of experience in a health care setting, preferably at a large acute care facility.
• Extensive knowledge of Medicare and Medicaid guidelines for compliance.
• Experience facilitating and training large and small groups and conducting one-on-one training.
• Ability to communicate effectively with all departments that interface with the Charge Description Master.
• Ability to collect and analyze cost data and prepare reports and documents using a computer and various software databases.

Nice To Haves

• Auditing certification.
• Extensive experience with healthcare billing and reimbursement guidelines.
• Charge audit experience.

Responsibilities

• Manage the revenue integrity process to ensure accurate and timely changes are captured.
• Perform duties related to compliance for charging patient services and supplies.
• Review the Charge Description Master for completeness and establish charges for patient-related services, procedures, and supplies.
• Oversee the APC program by implementing changes and educating staff.
• Work independently and provide consultation to departments and entities.
• Audit medical procedure codes for accuracy and completeness.
• Facilitate and conduct training for large and small groups, as well as one-on-one training.
• Collect and analyze cost data and prepare reports and documents using a computer and various software databases.

What This Job Offers

• Job Type: Full-time