Hartford HealthCare · 1 day ago
Revenue Integrity Analyst
Farmington, CT
Full-time
Onsite
Mid, Senior Level
3+ years expHartford HealthCare is Connecticut’s most comprehensive healthcare network, and they are seeking a Revenue Integrity Analyst – Level 2 to optimize revenue processes and ensure compliance within the organization. This role involves evaluating charging and coding processes, analyzing denial data, performing charge audits, and providing guidance on charge capture and billing processes.
Health CareHealth DiagnosticsHospitalOncologyPharmaceuticalRehabilitation
Responsibilities
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
Analyzes 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 large amount of data for presentation to all levels of the organization
Performs regular charge audits, identifying any trends, and implementing corrective actions when appropriate. Document findings and corrective actions reporting to the Revenue Integrity Manager
Provides guidance, communication and education on correct charge capture, documentation, coding and billing processes
Lead annual, quarterly, CPT®, HCPCS changes for accuracy, compliance with applicable billing guidelines, and optimization of reimbursement
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
Monitor national, state, and local information to keep current with applicable regulatory and legislative changes and tailor the revenue integrity program accordingly
Leads and participates in projects and other duties related to revenue cycle initiatives and duties. Includes training new analysts
Qualification
Required
Bachelor's Degree or equivalent Healthcare experience of 10 yrs
Three to four years of progressive on-the-job experience in an acute care hospital
Certified Coder, (CCS, CPC, etc.)
English - Strong written and verbal communication skills
Extensive knowledge of ICD‑10-CM diagnostic and CPT/HCPCS procedure codes
Extensive knowledge of clinical information related to responsibility areas
Extensive knowledge of Microsoft Office Products; Word, Excel
Read, write and speak English proficiently
Strong analytical capabilities
Excellent organizational skills
Proficiently read and interpret physician writing
Function independently
Handle 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 mutual 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
Preferred
Associates degree with health management or financial emphasis and/or health services or ten (10) years of healthcare work experience
Five (5) years in hospital-based health care setting with experience in facility revenue cycle operations
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