Remote Revenue Integrity Analyst

Valleywise Health System; Arizona; Remote; USD 80,000 - 118,000; Full time

Job summary

Valleywise Health is seeking a Revenue Compliance Analyst to research Federal and State regulations related to billing and CDM, and to perform independent chart and charge reviews for accuracy. You will analyze audit results and coordinate with the Business Office, compliance, and clinical teams to drive corrective actions.

The role requires at least two years of healthcare coding experience, working knowledge of CMS guidelines, and strong Excel skills.

Qualifications

• Requires a bachelor’s degree in business or related field, or equivalent experience.
• Minimum 2 years of healthcare coding experience with strong knowledge of billing and CDM.
• Experience with Excel and the Microsoft Office suite is required.

Responsibilities

• Research Federal and State regulations related to billing and CDM.
• Perform independent reviews of charts and charges for completeness and accuracy.
• Analyze audit results and recommend corrective actions with cross-functional teams.
• Maintain CDM to ensure code compliance and support rate changes.

Skills

Coding experience

Excel skills

Medical terminology

Communication skills

Analytical skills

multitasking

Education

Bachelor's degree in business or related field

Tools

Epic system

Job description

Valleywise Health is seeking a Revenue Compliance Analyst to research Federal and State regulations related to billing and CDM, and to perform independent chart and charge reviews for accuracy. You will analyze audit results and coordinate with the Business Office, compliance, and clinical teams to drive corrective actions.

The role requires at least two years of healthcare coding experience, working knowledge of CMS guidelines, and strong Excel skills.