Senior Revenue Integrity Analyst

The Nebraska Medical Center•Omaha, NE

1d•Remote

About The Position

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Nebraska Medicine is seeking a Revenue Integrity Analyst to help ensure accurate charge capture, coding, claims production, and reimbursement. In this hands-on role, you’ll conduct audits and reviews, investigate revenue-cycle issues, identify trends and opportunities, and collaborate with Patient Financial Services, clinical departments, compliance positions, and other partners to help prevent issues before they affect reimbursement. You’ll also have the opportunity to contribute to process improvements, provide education, and support solutions that strengthen revenue integrity across the organization. If you’re a detail-oriented healthcare professional who enjoys digging into the details, solving problems, and using your expertise to improve processes and protect revenue , we’d love to hear from you! The Senior Revenue Integrity Analyst conducts audit/review activities to ensure appropriate revenue management, charge capture, claims production, coding integrity, and provider code assignment. This position supports education to applicable leadership, implementation support and serves as a facility liaison to Nebraska Medicine's staff as it relates to billing system issues. As part of the Health Information Management Department, reporting directly to the Revenue Integrity Manager, this position has collaborative relationships with Patient Financial Services, Clinical Departments, and Compliance. Conducts special projects and studies to facilitate revenue management as required.

Requirements

Minimum three years of experience in revenue integrity in a hospital or healthcare setting or coding required.
High school education or equivalent required.
Bachelor's degree in Health Information Management (HIM), business or other healthcare related field or equivalent combination of education/experience (two years experience in health information management equals one year of education) required.
Current knowledge of revenue cycle processes and hospital/ medical billing required.
Understanding of components of electronic medical record required.
Current knowledge of code data sets to include CPT, HCPCS, ICD-10-CM, and ICD-10-PCS.
Current knowledge of NCCI edits, and Medicare LCD/NCDs required.
Interpersonal and communication skills, analytic and organizational skills, critical -thinking and the ability to meet deadlines required.
Computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet required.
Applicable professional certification through American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Coding Associate (CCA) or America Academy of Professional Coders (AAPC); Certified Professional Coder Hospital (CPC H), Certified Outpatient Coder - Hospital (COC-H) required.

Nice To Haves

Experience with EPIC HB/PB preferred.

Responsibilities

Conducts audit/review activities to ensure appropriate revenue management, charge capture, claims production, coding integrity, and provider code assignment.
Supports education to applicable leadership.
Provides implementation support.
Serves as a facility liaison to Nebraska Medicine's staff as it relates to billing system issues.
Conducts special projects and studies to facilitate revenue management as required.