Onsite Revenue Integrity Analyst - Las Vegas

Talentify; Las Vegas (NV); On-site; USD 80,000 - 120,000; Full time

Benefits offered by this job

Employer-paid pension plan (Nevada PEB

Competitive salary and benefits

Job summary

UMC is seeking a Revenue Integrity/Coding professional to maintain the Chargemaster and conduct audits ensuring accurate charge capture and compliance with CPT/HCPCS codes. The role involves collaborating with Revenue Cycle, clinical operations, and IT to optimize billing workflows.

The candidate should have nursing or healthcare/finance-related education and at least 3 years of coding/revenue integrity experience, with Epic proficiency and ongoing licensure/certification eligibility.

Qualifications

• Graduation from an accredited school of nursing or equivalent to a Bachelor's Degree in healthcare, finance or a closely related field
• Three (3) years experience in reviewing hospital charge capture, medical records, clinical charts, regulatory and policy compliance, and/or claims auditing
• Valid state license as a Registered Nurse or certification in CPC, CCS-P, CHRI or ability to obtain within one year of employment

Responsibilities

• Maintains the Chargemaster fee schedule in accordance with established coding practices and governmental regulatory requirements.
• Conducts quality control audits and review charge capture clinical workflows for missed revenue opportunities.
• Creates action plans for capturing missed revenue.
• Identifies edits in patient management/billing software that impacts billing accuracy.
• Ensures CPT, HCPCS and revenue codes are accurate and compliant with all charging and billing guidelines.
• Serves as a liaison between Revenue Cycle and clinical operations and information technology regarding revenue, compliance, and clinical workflow build.

Skills

Attention to detail

Analytical thinking

Communication

Team collaboration

Education

Bachelor's degree in healthcare, finance or related field

Tools

Epic

Job description

UMC is seeking a Revenue Integrity/Coding professional to maintain the Chargemaster and conduct audits ensuring accurate charge capture and compliance with CPT/HCPCS codes. The role involves collaborating with Revenue Cycle, clinical operations, and IT to optimize billing workflows.

The candidate should have nursing or healthcare/finance-related education and at least 3 years of coding/revenue integrity experience, with Epic proficiency and ongoing licensure/certification eligibility.