Sarah Bush Lincoln · 23 hours ago
Revenue Integrity Analyst
Sarah Bush Lincoln Health Center
Full-time
Onsite
New Grad, Entry Level
$55K/yr - $85K/yrSarah Bush Lincoln is a health center dedicated to ensuring accurate and compliant patient billing. The Revenue Integrity Analyst will analyze charge capture, coding, and claims processes to identify revenue leakage and implement improvements while coordinating with clinical and financial teams.
Health CareHospitalMedicalNon Profit
Responsibilities
Assists with validating annual pricing updates to the CDM to ensure accuracy and to optimize reimbursement within organizational budget requirements
Collaboration: Works across departments (clinical, IT, billing, coding) to resolve issues and implement solutions. Collaborates closely with the Revenue Integrity Team, Compliance, Hospital & Physician Business Offices, Transplant Revenue Cycle, Health Information Management (HIM), Information Technology (IT), Managed Care, and Finance to facilitate proper coding and billing outcomes
Compliance & Education: Stays updated on payer regulations (Medicare, commercial), educates staff (physicians, coders, billers), and ensures adherence to guidelines. Provides focused education to clinical and coding stakeholders and best practice recommendations for improvement
Data Analysis & Auditing: Conducts audits, analyzes claim data, reviews charge capture, and investigates variances. Conducts post-implementation audits to ensure that system updates and CDM changes result in appropriate reimbursement
Develops and Monitors Key Performance Indicators (KPIs) to identify new Revenue Integrity initiatives, track performance improvement activities, recognize important trends that may impact revenue (cause and effect), and document improved performance
Develops standardized charge capture processes including daily reconciliation and reporting for all clinical departments
Performs root cause analysis resulting from charge capture reconciliation, audits, and the CDM to resolve payor denials, coding/billing edits, and/or other delays or reductions to cash flow
Process Improvement: Develops and implements corrective actions, improves workflows, and enhances charge description master (CDM) integrity. Implements process improvement strategies designed to streamline workflow, automate, and optimize technologies
Quantifies metrics resulting from improvements made by the Revenue Integrity Team such as incremental revenue, cost savings, CDM compliance, etc
Reporting: Creates reports, tracks trends, and presents findings to leadership to drive financial performance. Develops standardized reporting for both leadership and clinical departments including a dashboard of financial activity that is meaningful to the end user
Supports the Denials Governance Committee, focusing on denial prevention activities and performance improvement
Supports the Revenue Integrity Team and strategic Revenue Cycle plan by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance with all Federal and State regulations, payer policies, and coding guidelines
Qualification
Required
High School Diploma
Bachelor's Degree
Company
Sarah Bush Lincoln
Sarah Bush Lincoln Health Center is a 145-bed, non-profit regional hospital dedicated to delivering excellent health care to all.
Founded in 1977
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Kim Uphoff
Chief Executive Officer
Alex Love
Human Resources Business Partner
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