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Revenue Integrity Analyst
IMHRevenue Integrity Analyst at Intermountain Health managing appropriate charge capture and compliance. Collaborating with teams to enhance performance and ensure revenue optimization in clinical operations.
About the role
Key responsibilities & impact- The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line.
- This position will support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s).
- Analyzes data, develops reports, reviews trends and recommend enhancements as defined by the revenue practice leadership team.
- Participates, researches and follows-up on topics presented at department and system-wide initiatives.
- Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams' performance.
- Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits.
- Provides education and guidance to revenue cycle and clinical operations on report development, charge capture accountability and revenue monitoring.
- Performs extensive data mining, regulatory and payer policy review, abstracting of financial and clinical information from various sources
Requirements
What you’ll need- CPT coding experience
- Demonstrated experience in a role requiring attention to detail with excellent organizational and analytical skills.
- Demonstrates flexibility and adaptability to change.
- Demonstrates ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes.
- Experience working closely with a multi-disciplinary team to optimize patient experience and operational success.
- Bachelor's degree in finance, healthcare management, data science or related field from an accredited institution.
Benefits
Comp & perks- generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPT codingdata analysisreport developmentdata miningregulatory compliancecharge capturecharge editscoding processesfinancial information abstractionclinical information abstraction
Soft Skills
attention to detailorganizational skillsanalytical skillsflexibilityadaptabilityteam collaborationcommunication skillsguidance provisionproblem-solvingperformance monitoring