Revenue Integrity Analyst

Corewell Health • Caledonia, MI

21h • Onsite

About The Position

Coordinates the maintenance of assigned departmental revenue cycle business systems, chargemasters, or other business processes, ensuring accuracy and consistency with departmental requirements and regulatory agency standards. Accountable for tasks impacting organizational cash flow, compliance, patient satisfaction and confidentiality. Monitors and trends data for assigned revenue cycle departments and tasks.

Requirements

• Bachelor's Degree or equivalent in related field
• 2 years of relevant experience different areas of the health system such as billing, coding, reimbursement, technology & information solutions, and/or finance.

Responsibilities

• Reviews and makes recommendations regarding hospital or professional charges / fee structure, revenue cycle business systems, or related processes.
• Researches patient access, coding and billing requirements when new procedures or regulatory changes are introduced.
• Coordinates required updating of CPT / HCPCS codes, bill edits, third party payer changes or other revenue cycle regulatory requirements.
• Assists in the resolution of revenue cycle issues, such as patient access, billing or denials, and develops systems to proactively address trends.
• Facilitates the development of strategies for the evaluation and implementation of assigned tasks, such as recommended changes to business systems, reimbursement methodologies, or revenue cycle efficiencies, working collaboratively with teams / task forces / consultants.
• Communicates, collaborates and acts as a consultant to others within and outside the department related to assigned tasks, in order to facilitate continuity and coordination of services.
• Acts as a liaison to outside consultants and keeps upper management / revenue cycle team informed concerning progress / problems.
• Assesses the educational needs of others related to area of accountability and coordinates / implements appropriate teaching strategies or makes appropriate referrals.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance
• Traditional and Roth retirement options with service contribution and match savings

What This Job Offers

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