Shriners Children's

Revenue Integrity Analyst

Shriners Children's

full-time

Posted on:

Location Type: Remote

Location: United States

Visit company website

Explore more

✨ AI Apply
Apply

About the role

  • Ensure all items and services charged through the Charge Description Master (CDM) are described, coded, and priced appropriately
  • Educate ancillary departmental and clinical staff on required changes for regulatory and payor changes
  • Conduct charge capture assessment activities including interviews, research, and outcomes analysis
  • Provide analysis, documentation, and recommendations for changes to the CDM
  • Maintain communication with revenue departments regarding operational opportunities
  • Collaborate with department managers and staff to identify areas of deficiency and develop process improvements
  • Document all changes and revisions to CDM using appropriate software
  • Perform audits focusing on revenue cycle integrity
  • Develop ongoing education programs on charge capture and billing processes for staff members

Requirements

  • 1-3 years of experience performing CDM related activities
  • Experience with CPT-based coding principles from both inpatient and outpatient reimbursement perspective
  • Experience with UB-04, MA claim form, and HCFA-1500 charge development process
  • Associate's Degree in business/accounting/finance or healthcare business administration - or combination education and experience considered in lieu of degree
  • Epic EMR required
Benefits
  • Health insurance coverage from first day
  • 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service
  • Paid time off
  • Life insurance
  • Short term and long-term disability
  • Flexible Spending Account (FSA) plans
  • Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected
  • Tuition reimbursement
  • Home & auto insurance
  • Hospitalization coverage
  • Critical illness insurance
  • Pet insurance and much more!

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
charge captureCPT codingUB-04MA claim formHCFA-1500CDM documentationrevenue cycle integrityprocess improvementsoutcomes analysisbilling processes
Soft skills
communicationcollaborationeducationanalysisdocumentationrecommendationsoperational opportunitiesinterpersonal skillsleadershiporganizational skills