Stamford Health · 7 hours ago

Revenue Integrity Analyst

Stamford, CT

Full-time

Remote

Mid Level

3+ years exp

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Responsibilities

Ensuring charges are built correctly in the CDM and are appropriately integrated with the clinical charging mechanisms.

Expert on charge capture tools. Auditing and giving feedback as appropriate.

Oversight of Department charges and KPIs, ensuring they are at or above budget and determining root cause if they are not.

Training departments on charge capture tools, rule, regs, CPT/HCPCS/etc. updates and workflows.

Monitor, investigate and resolve revenue integrity concerns and violations reported in their area and provide any necessary follow-ups.

Serve as a resource for organizational and operational revenue integrity issues.

Communicate and lead CDM maintenance activities.

Work RI WQs, monitor department WQs. Provide feedback based on WQ volumes, audit outcomes and daily charge statistics.

Validate/test/audit charge triggers to ensure systems are working as expected.

Keep abreast of healthcare industry trends.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

3+ years healthcare experienceHealthcare coding knowledgeHealthcare software EpicHealthcare software MeditechMicrosoft OfficeCertificate in Healthcare Revenue IntegrityCertified Coder (CPC)

Required

Bachelor's degree from an accredited college in business administration or healthcare.

3+ years' experience in a health care business setting, including full scope revenue cycle, charging and performance benchmarking. (Medical group practice or in a complex healthcare environment.)

Effective communication skills and ability to interact with others positively.

Ability to manage multiple concurrent activities.

Working knowledge of healthcare coding and billing rules and regulations.

Strong analytical and organizational skills.

Computer skills essential. Microsoft Office and healthcare software (ex: Epic, Meditech) at a minimum.