Hartford HealthCare · 1 month ago
Rev Integrity Analyst 1 - CL / Revenue Cycle Cmdr Coding
Farmington, CT
Full-time
Onsite
Senior Level
5+ years expHartford HealthCare is Connecticut’s most comprehensive healthcare network, and they are seeking a Rev Integrity Analyst 1 to support their Revenue Integrity mission. This role is responsible for assisting in resolving billing issues, ensuring charging accuracy, and promoting compliance with laws and regulations.
Health CareHealth DiagnosticsHospitalOncologyPharmaceuticalRehabilitation
Responsibilities
This position is responsible for assisting Revenue Cycle Services, Coding, and other clinical departments with resolution of billing issues and/or denials requiring clinical expertise, participating in external audit requests, and special projects as needed. Performs denial resolution by analyzing denial data to identify root causes of preventable denials, develop and implement corrective action plans to address root causes, including collaborating with the clinical areas as well as other departments within revenue cycle. Optimizes revenue cycle processes by validating, evaluating, and trending substantial amounts of data for presentation to all levels of the organization
This position serves as an audit outcome educator with clinical staff in clinic and department settings. Performs regular charge audits, identifying any trends, and implementing corrective actions when appropriate reporting to the Revenue Integrity Manager. Provides guidance, communication and education on correct charge capture, documentation, coding, and billing processes
Performs an integrated approach toward achieving operational efficiency, complete regulatory compliance, and total reimbursement. In turn, this promotes revenue enhancement and compliance with laws and regulations with feedback and education to the hospital departments as needed. Evaluates current charging and coding structures and processes in revenue generating departments to ensure appropriate capture and reporting of revenue and compliance with government and third-party payer requirements. Assesses the accuracy of all charging vehicles, including clinical systems and dictionaries, encounter forms and other charge documents used to capture revenue
This position is integral to the Revenue Integrity Team to assist in ensuring patient services are accurately charged, appropriately coded, supported by clinical documentation and that the related revenue is recorded in the proper department. This position is responsible for assisting Revenue Cycle Services, Coding, , and other departments with resolution of billing issues and/or denials, participating in external audit requests, and special projects as needed
Communicate CDM maintenance activities to clinical departments and information systems staff to implement necessary changes that affect charge identification, capture, reconciliation, and claim processing. Ensure changes within the charge description master (CDM) coincide and are implemented with clinical systems by reviewing flow sheets or charge capture preference lists. Leads annual, quarterly, CPT®, HCPCS changes for accuracy, compliance with applicable billing guidelines, and optimization of reimbursement
Monitor national, state, and local information to keep current with applicable regulatory and legislative changes and tailor the revenue integrity program accordingly
Qualification
Required
Bachelor's degree with health management or financial emphasis and/or health services Or equivalent experience
Five (5) years of progressive on-the-job experience in an acute care hospital
Minimum: Certified Coder, (CCS, CPC, etc.)
English - Strong written and verbal communication skills
Requires the ability to manage large complex projects assignments, investigate, analyze, and resolve issues at an important level
Excellent communication, presentation, organizational, analytical, and critical thinking skills
Must approach problem-solving challenges independently, have strong attention to detail and enjoy working in a fast-paced, collaborative team-based environment
Extensive knowledge of revenue cycle processes and hospital/ medical billing to include CDM, UB, RAs and 1500
Extensive knowledge of code data sets to include CPT, HCPCS, and ICD 10
Extensive knowledge of NCCI edits, and Medicare LCD/NCDs
Extensive understanding of reimbursement theories to include OPPS, MPFS, and managed care
Extensive working knowledge of health care compliance
Extensive understanding of medical terminology, anatomy, and physiology along with clinical department activities
The ability to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations along with assistance for all member entities
The ability to work with and interpret detailed medical record documents and communicate effectively with physicians, nursing staff, leadership, and other billing personnel
Read, write, and speak English proficiently
Strong analytical capabilities
Excellent organizational skills
Proficiently read and interpret physician writing
Function independently
Manage multiple priorities
Listen and acknowledge ideas and expressions of others attentively
Converse clearly using appropriate verbal and body language
Collaborate with others to achieve a common goal through cooperation
Influence others for positive and productive outcomes
Utilize coding subject matter expertise to support new specialized coders and other projects
Work across the Hartford HealthCare System
MS Office includes Word, PowerPoint, Excel and Outlook, Windows operating system, and the Internet
Preferred
Certified Healthcare Revenue Integrity (CHRI)
Benefits
Competitive benefits program designed to ensure work/life balance
Company
Hartford HealthCare
Hartford HealthCare is a group of hospitals that offers complete healthcare services including cancer care, rehabilitation and pharmacy.
10001+ employees
H1B Sponsorship
Hartford HealthCare 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 (9)
2024 (2)
2023 (4)
2022 (6)
2021 (4)
2020 (8)
Funding
Current Stage
Late StageTotal Funding
$150MKey Investors
Connecticut Health and Educational Facilities Authority
2024-04-01Debt Financing· $150M
Leadership Team
Jeffrey Flaks
President & Chief Executive Officer
Bimal Patel
President and COO
Recent News
Hartford Business Journal
2025-12-18
Company data provided by crunchbase