Senior Revenue Integrity Analyst jobs in United States
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Dayton Children's Hospital · 1 month ago

Senior Revenue Integrity Analyst

Dayton Children's Hospital is seeking a Senior Revenue Integrity Analyst who will oversee the performance of revenue integrity analysts and ensure compliance with billing regulations. This role involves maintaining the chargemaster, preventing revenue leakage, and providing analytical support for revenue-related items.

Child CareHealth CareHospital

Responsibilities

Responsible for planning and oversight of the revenue integrity analysts’ performance of essential department accountabilities, including reporting to department leadership about goal status
Responsible for all aspects related to revenue integrity, including maintaining work queues, understanding, and applying yearly regulatory changes, maintaining the chargemaster, and preventing revenue leakage
Works accounts in assigned Revenue Integrity work queues to facilitate accurate, compliant billing of patient accounts and assists revenue integrity analysts with completion of tasks and work queues
Establishes and enforces the hospitals’ pricing, coding, and regulatory changes
Provides operational analytical support with regards to reimbursement, charge lag, revenue trends, and other revenue related items
Coordinates and collaborates actions with Health Information Management, Information Systems, Billing, Finance and Operations

Qualification

Epic CDM ManagementRevenue IntegrityHealthcare BillingCPTHCPCS CodesMicrosoft Office ToolsHealth Information ManagementFinanceAnalytical SupportResearch SkillsCollaboration

Required

Bachelor's degree in Health Information Management, Finance or related field
6-10 years of revenue integrity, analyst, etc. experience in healthcare
Experience with EPIC electronic health record
EPIC CDM/Revenue Integrity (HB and PB) certification within 6 months of employment
Ability to research CPT and regulatory requirements
Experience with CPT and HCPCS codes and interpreting CPT guidance
Experience in healthcare billing, CMS Medicare and Medicaid reimbursement methodologies
Proficiency in Microsoft Office Tools (Outlook, Excel)

Preferred

Masters
Trisus (Craneware) chargemaster experience
Strata experience
Registered Health Information Administrator (RHIA) Certification

Company

Dayton Children's Hospital

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Dayton Children Hospital is a healthcare institution located in Dayton.

Funding

Current Stage
Late Stage
Total Funding
$0.07M
Key Investors
OneOhio Recovery FoundationAES Ohio Foundation
2025-01-16Grant
2024-01-30Grant· $0.07M

Leadership Team

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Deborah Feldman
President and CEO
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Chris Bergman
Chief Financial Officer
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Company data provided by crunchbase