Apply on Employer Site

Saint Luke's · 1 day ago

Revenue Integrity Analyst

Kansas City, MO

Full-time

Hybrid

Mid Level

3+ years exp

Saint Luke's is a faith-based, nonprofit health system dedicated to providing exceptional patient care. The Revenue Integrity Analyst is responsible for improving charge capture accuracy through various assessments and collaborations, while also providing education and support to healthcare providers regarding documentation and coding practices.

Health CareHealth DiagnosticsHospitalNon Profit

Responsibilities

Analyze and conduct regularly scheduled chart audits and education for Physicians, APPs and other billable providers by evaluating education needs from audit results as outlined in our policies

Analyze and conduct audits for focused requests such as internal reviews, program & payment integrity reviews, payor programs. Participate in facilitation of the process from time it is received to completion of request

Responsible for research and communication on regulatory requirements and payor policies that impact charging and reimbursement for the areas assigned

Identify education and improvement opportunities for accuracy, outliers and missed revenue by utilizing data such as: revenue, RVUs, denials, CPTs by specialty, lag days in documentation to provide education to operational leaders and Physicians, APPs and other billable providers

Train departments on charge reconciliation. Monitor to ensure the charge reconciliation is happening in the areas assigned

Monitor open encounters to ensure the chart is closing within the guidelines of the policies

Educate Physicians, APPs and other billable providers, practice leaders and revenue cycle on annual coding updates and drive necessary EPIC revisions. Work with leadership to roll out new codes as applicable and timely

Analyze and ensure codes dropping are correct for all services rendered outside of that coded by HIM

Support operational leaders on efforts and initiatives related to charge capture, documentation, and reimbursement items

Collaborate with other departments (MILs, CDI, CDS, HIM, Charge Mgmt) and vendors to research where shared responsibilities for coding alignment or impact is needed

Qualification

CPC certificationCCS certificationCPMA certificationCEMA certificationCoding knowledgeAuditing experienceDocumentation guidelinesProcess improvementCollaboration skillsCommunication skills

Required

3 years' experience as a coder

2 years of experience in auditing/chart reviews

advanced knowledge in coding, auditing, and documentation guidelines

CPC or CCS and CPMA or CEMA is required

3-5 years applicable experience

Benefits

Career Advancement Program

Competitive salaries and benefits packages

Company

Saint Luke's

Glassdoor3.8

About Saint Luke’s Saint Luke’s serves the West Region of BJC Health System as a faith-based, nonprofit, aligned health system committed to providing the highest levels of excellence in compassionate health care and health-related services.

Founded in 1882

Kansas City, Missouri, USA

10001+ employees