RN Analyst Revenue Integrity
About The Position
As a Revenue Integrity RN, you will apply your clinical and analytical expertise to support the Revenue Reporting and Systems Department, ensuring cost-effective, compliant revenue generation aligned with organizational values. Every day you will optimize revenue operations, identify opportunities to improve net revenue realization and cash flow, and serve as a vital resource for internal departments including patient financial services and finance. To be successful in this role, you will develop reports, provide clinical and financial education on revenue operations, and collaborate with analysts and department managers. Your support across multiple hospital sites is critical for controlling late charges and enhancing charge capture. Access and coordinate data from various hospital and Dignity Health systems for the purpose of opportunity identification, monitoring and reporting of revenue cycle performance from a clinical perspective. Coordinates with other departments including finance, decision support, business office, etc., to develop and generate reporting templates for monitoring and troubleshooting revenue performance. Assist in maintenance of CDM including research of appropriate coding, cost and pricing information, assisting CDM analyst as necessary. Modeling reimbursement terms to determine expected financial impact of process and chargemaster modifications. Evaluate and respond to data/statistical report request from other departments, division, and systems offices. Responsible in the preparation and posting of daily charges for the Cath Lab with a 96% accuracy rate. Performing Charge Reconciliation with the individual departments for any rejected charges on a daily basis.
Requirements
- Current CA RN license
- Education level necessary to obtain required licensure and certifications, upon hire
- 3-5 years experience in the Cath Lab as well as other acute care settings within the hospital, upon hire
- Registered Nurse: CA, upon hire
- Basic Life Support - CPR, upon hire
Nice To Haves
- Familiarity in revenue operations, charge entry, and coding, upon hire
- Certified Coding Specialist, upon hire
Responsibilities
- Optimize revenue operations
- Identify opportunities to improve net revenue realization and cash flow
- Serve as a vital resource for internal departments including patient financial services and finance
- Develop reports
- Provide clinical and financial education on revenue operations
- Collaborate with analysts and department managers
- Control late charges and enhance charge capture across multiple hospital sites
- Access and coordinate data from various hospital and Dignity Health systems for opportunity identification, monitoring, and reporting of revenue cycle performance from a clinical perspective
- Coordinate with other departments (finance, decision support, business office, etc.) to develop and generate reporting templates for monitoring and troubleshooting revenue performance
- Assist in maintenance of CDM, including research of appropriate coding, cost, and pricing information
- Model reimbursement terms to determine the expected financial impact of process and chargemaster modifications
- Evaluate and respond to data/statistical report requests from other departments, division, and systems offices
- Prepare and post daily charges for the Cath Lab with a 96% accuracy rate
- Perform Charge Reconciliation with individual departments for any rejected charges on a daily basis
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
