El Camino Health · 1 week ago
Revenue Integrity Analyst - FT - Days - Revenue Integrity @ MV
Mountain View, CA
Full-time
Onsite
Mid Level
$52.38/hr - $78.57/hr
3+ years expEl Camino Health is committed to hiring, retaining and growing the best professionals who will carry their mission forward. The Revenue Integrity Analyst is responsible for maintaining the Charge Description Master and ensuring accurate charge capture and billing, while collaborating with clinical stakeholders and supporting compliance with coding regulations.
Health CareHospitalMedicalNon Profit
Responsibilities
Maintain CDM for all required elements, including but not limited to assignment of applicable CPT/HCPCS coding, UB-04 Revenue Codes, and appropriate pricing
Maintain and oversee professional fee schedules for hospital-affiliated clinics
Ensure that El Camino Health’s CDM remains compliant with changing billing and coding updates made by CMS, American Medical Association (AMA) and other government and commercial insurance payers, as applicable
Review and resolve NCCI and MUE edits in collaboration with coding, clinical, and billing teams, determining appropriate modifier usage and correction strategies based on documentation
Read and interpret clinical documentation in the EHR to validate submitted charges and support resolution of coding discrepancies
Partner with clinical and ancillary departments to provide education, direction, and guidance on accurate and compliant charge capture practices
Support audits and charge validations to identify opportunities for revenue recovery and compliance improvement
Collaborate with IT and application teams (e.g., Epic) to ensure CDM changes are integrated with front-end charge capture tools and workflows
Monitor regulatory changes and payer guidance to proactively maintain CDM accuracy and minimize claim denials related to coding or documentation issues
Other duties as assigned
Qualification
Required
High School Diploma or equivalent
3 years of combined experience in hospital CDM management, charge capture, or revenue integrity roles
Minimum two years' experience with professional or facility coding, modifier usage, and claim edit resolution
Experience interpreting clinical documentation in the EHR and applying coding principles to support accurate billing
Proficient in Microsoft Excel, Word, and Epic (or comparable EHR/CDM systems)
Highly collaborative and able to work cohesively in a dynamic team environment
Strong understanding of hospital's comprehensive revenue cycle
Strong communication and interpersonal skills; able to work well with all levels in the organization, including Senior Leadership
Required: Certified Professional Coder (CPC) from AAPC
Must maintain active certification status in good standing throughout employment
Preferred
Bachelor's degree in business, Health Information Management (HIM), or Healthcare-related field preferred
Preferred: Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician-based (CCS-P) from AHIMA
Company
El Camino Health
El Camino Health provides health care services.
1001-5000 employees
H1B Sponsorship
El Camino Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (2)
2023 (2)
2022 (7)
2021 (1)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
Dan Woods
Chief Executive Officer
Mark Klein
Chief Communications and Marketing Officer
Recent News
2026-01-05
2025-11-03
Company data provided by crunchbase