Revenue Integrity Analyst

TriHealth; Cincinnati (OH); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Paid time off

Retirement plans

Tuition reimbursement

Job summary

TriHealth is seeking a qualified healthcare revenue cycle professional to manage and optimize physician charge descriptions and revenue for our EPIC-based systems. This role focuses on accurate coding, compliance with payer requirements, and ongoing process improvements.

The candidate will monitor revenue streams, address discrepancies, and help implement policies that govern charge capture. A CPC credential and 4–5 years’ related EPIC experience are required.

Qualifications

• Bachelor's degree in healthcare or related field.
• Certified Professional Coder (CPC) required.
• 4–5 years’ experience in EPIC Physician Revenue Cycle Coding & Charge Capture.

Responsibilities

• Maintains TriHealth Physician Charge Description Master to optimize revenue generation while ensuring compliance with third party payer requirements and evaluates and maintains optimal charge prices.
• Monitors daily & monthly revenue and identify issues. Oversees daily revenue reconciliation.
• Evaluates and corrects, records missed charges as generated by advanced analytical queries.
• Evaluates and implements Revenue Guardian in collaboration with existing edits.
• Assists in resolving open encounters.
• Develops Corporate Policies that govern charge capture for physician generated revenue.

Skills

EPIC Revenue Cycle

CPC Certification

EPIC Experience

Charge Capture

Education

Bachelor's Degree in Healthcare

Equivalent experience accepted in lieu of degree

Tools

EPIC

Job description

Location:

Works from Home

Work Schedule:

Full-Time (80 hours bi-weekly)

Day Shift

No Weekend, Holiday or On Call Commitment

Benefits:

• medical
• dental
• vision
• paid time off
• retirement plans
• tuition reimbursement

Job Requirements:

• Bachelor's Degree in Healthcare
• EPIC Physician Revenue Cycle & Coding
• Equivalent experience accepted in lieu of degree
• Certified Professional Coder (CPC)
• EPIC Experience in Physician based revenue cycle\
• 4-5 years' experience Professional Healthcare EPIC Physician Revenue Cycle Coding & Charge Capture

Job Responsibilities:

• Maintains TriHealth Physician Charge Description Master to optimize revenue generation while ensuring compliance with third party payer requirements and evaluates and maintains optimal charge prices.
• Monitors daily & monthly revenue and identify issues. Oversees daily revenue reconciliation.
• Evaluates and corrects, records missed charges as generated by advanced analytical queries.
• Evaluates and implements Revenue Guardian in collaboration with existing edits.
• Assists in resolving open encounters.
• Develops Corporate Policies that govern charge capture for physician generated revenue.

Working Conditions:

• Climbing - Rarely
• Concentrating - Consistently
• Continuous Learning - Consistently
• Hearing: Conversation - Consistently
• Interpersonal Communication - Consistently
• Kneeling - Rarely
• Lifting

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS... - Welcome everyone by making eye contact, greeting with a smile, and saying "hello" - Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist - Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS... - Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met - Offer patients and guests priority when waiting (lines, elevators) - Work on improving quality, saf