Mount Nittany Health-posted 3 months ago
Bellefonte, PA
1,001-5,000 employees

The Revenue Integrity Analyst provides support and insight into Revenue Integrity processes including front-end avoidable denials, charge capture/reconciliation, report trending and analytics, RI training/education as needed. Responsible for the overall timely and accurate capture of patient service revenue, assists with the development or maintenance of the Charge Description Master (CDM). Focusing on implementing and supporting continuous improvement in key revenue cycle functions including Registration, Coding, and Billing. The Analyst will maintain a good working relationship with all clinical charging departments to ensure clear communication and a collaborative approach to implementing best practice processes. Serving as liaison, this position is responsible for monitoring and communicating current regulations and reporting requirements as set by government or other payers, and ensuring any changes are properly implemented through project oversight.

  • Support and provide insight into Revenue Integrity processes.
  • Assist with the development or maintenance of the Charge Description Master (CDM).
  • Implement and support continuous improvement in key revenue cycle functions including Registration, Coding, and Billing.
  • Maintain a good working relationship with all clinical charging departments.
  • Monitor and communicate current regulations and reporting requirements.
  • Ensure changes are properly implemented through project oversight.
  • Bachelor's degree in Business, Finance, Healthcare or closely related field, or equivalent years’ experience.
  • 3-5 years related professional/business experience in a technical/financial healthcare environment.
  • Demonstrated experience in utilization of patient accounting systems.
  • Solid computer technical skills, including proficiency with Microsoft Office products (Word, Excel, Access, and PowerPoint).
  • Proven excellent communication and customer service skills.
  • Ability to make independent business decisions considering client satisfaction and fiscal impact.
  • Ability to streamline processes for efficiency.
  • Strong analytical aptitude and experience creating financial analysis.
  • Strong understanding of charging, billing best practices, DRG and CPT/HCPC Medical Coding and Medical Terminology.
  • Basic understanding of Accounting Principles and Hospital Financial Reporting.
  • Knowledge of Medicare, Medicaid, and other private payer billing regulations.
  • Certification as a medical coder through AHIMA (CCS, CCS P) or through AAPC (CPC-H).
  • Certification as a Revenue Cycle Integrity Professional (CRIP).
  • Hybrid remote schedule, as determined by departmental needs.
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