Jobs via Dice · 17 hours ago
Senior Revenue Integrity Analyst
United States
Full-time
Remote
Senior Level
6+ years expDice is the leading career destination for tech experts at every stage of their careers. Our client, Evoke Technologies, is seeking a Senior Revenue Integrity Analyst responsible for planning and oversight of revenue integrity analysts’ performance and ensuring accurate, compliant billing of patient accounts. The role includes maintaining work queues, understanding regulatory changes, and collaborating with various departments to support revenue integrity efforts.
Computer Software
Responsibilities
The senior revenue integrity analyst is responsible for planning and oversight of the revenue integrity analysts’ performance of essential department accountabilities, including reporting to department leadership about goal status
This position will be 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
The senior revenue integrity analyst 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
The position will be certified in Epic CDM Management/Revenue Integrity to create, edit, delete and research various CDM requests for all hospital departments for both hospital and professional billing
The senior analyst is responsible for establishing and enforcing the hospitals’ pricing, coding, and regulatory changes
The incumbent needs to have knowledge of how billing and the CDM interacts for chargemaster build and will assist in hospital decision making related to chargemaster requests
The position will also provide operational analytical support with regards to reimbursement, charge lag, revenue trends, and other revenue related items
The senior revenue integrity analyst will coordinate and collaborate the above actions with, but not limited to, Health Information Management, Information Systems, Billing, Finance and Operations
Qualification
Required
Bachelor's degree in Health Information Management, Finance or related field required
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 required
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)
Revenue Integrity Analyst: 7 years (Required)
EPIC: 7 years (Required)
Revenue Integrity: 7 years (Required)
EPIC CDM: 6 years (Required)
Professional Billing (Required)
Hospital Billing (Required)
Preferred
Masters preferred
Trisus (Craneware) chargemaster experience
Strata experience
Registered Health Information Administrator (RHIA) Certification
Company
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Funding
Current Stage
Early StageCompany data provided by crunchbase