Revenue Integrity Analyst

Intermountain Health; Dover; On-site; USD 43,000 - 66,000; Full time

Benefits offered by this job

Generous benefits package

Job summary

Intermountain Health in Utah is seeking a Revenue Integrity Analyst to ensure accurate charge capture, manage assigned accounts, and edit charges for regulatory compliance and revenue optimization.

The role emphasizes data analysis, reporting, and collaboration with clinical operations while aligning with CMS/payor guidelines. Epic proficiency is preferred and the position supports a remote work option.

Qualifications

• Attention to detail with strong organizational and analytical skills.
• Experience in a clinical operational or revenue integrity setting.
• Knowledge of CMS/payor guidelines and regulatory requirements.

Responsibilities

• Analyzes data, develops reports, and reviews trends for revenue optimization.
• Performs regulatory and payer policy reviews and data mining for auditing.
• Provides guidance on charge capture, coding accuracy, and revenue monitoring.

Skills

Data Mining

Healthcare regulations

Health Insurance

Medical terminology

Communication

Detail-oriented

Problem solving

Data Analysis

Excel

Collaboration

Education

Bachelor’s degree in finance/healthcare management/data science

Tools

Epic

Job description

Fully Remote

Lake Park Building

Full time

R182626

Job Description: The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position will support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s).

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia Vermont, Washington. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.

Video phone screens and interview(s) through Microsoft Teams will be required as well for fully remote position.

• Revenue Integrity Analyst


• The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position will support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s).


• Essential Functions


• Analyzes data, develops reports, reviews trends and recommend enhancements as defined by the revenue practice leadership team.


• Participates, researches and follows-up on topics presented at department and system-wide initiatives.


• Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams' performance. Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits.


• Provides education and guidance to revenue cycle and clinical operations on report development, charge capture accountability and revenue monitoring.


• Performs extensive data mining, regulatory and payer policy review, abstracting of financial and clinical information from various sources. Skills: Data Mining, Healthcare regulations, Health Insurance, Medical terminology, Communication, Detail-orientated, Problem solving, Data Analysis, Excel, Collaboration.


• Qualifications Required: Demonstrated experience in a role requiring attention to detail with excellent organizational and analytical skills. Demonstrates flexibility and adaptability to change. Demonstrates ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes. Experience working closely with a multi-disciplinary team to optimize patient experience and operational success. Preferred: Bachelor’s degree in finance, healthcare management, data science or related field from an accredited institution. Education is verified. Proficient or certified with Epic clinical or billing applications. Demonstrated clinical or healthcare revenue cycle experience. Physical Requirements: Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs. Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately. Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc. For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location: Lake Park Building

Work City: West Valley City

Work State: Utah

Scheduled Weekly Hours: 40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$31.01 - $48.84

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence (\"AI\") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

Thanks for your interest in continuing your career with our team!