Revenue Integrity Analyst

University Health; Kansas City (MO); On-site; USD 70,000 - 90,000; Full time

Job summary

Truman Medical Center is seeking a Revenue Integrity Analyst to ensure accurate capture of changes and compliance in charging for patient services and supplies. The role includes reviewing the Charge Description Master and leading APC program updates.

Qualified candidates will hold a Bachelor's in business or equivalent and certifications such as RHIA/RHIT/CCS/CCS-P/CPC/CPC-H, with at least three years in a healthcare setting and strong data analysis skills.

Qualifications

• Bachelor's degree in business or equivalent mix of education and experience.
• Certification in RHIA, RHIT, CCS, CCS-P, CPC or CPC-H is required.
• Experience auditing medical procedure codes for accuracy and completeness.

Responsibilities

• Manage revenue integrity processes to capture accurate and timely changes.
• Review Charge Description Master for completeness and establish charges for services.
• Oversee APC program changes and staff education; provide department consultations.

Skills

Medical coding auditing

Cost data analysis

Training & facilitation

Cross-department communication

Education

Bachelor's degree in business

RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H certification

Job description

Revenue Integrity Analyst101 Truman Medical Center

Job Location

NorthpointKansas City, Missouri

Department

Revenue Integrity

Position Type

Full time

Work Schedule

8:00AM - 4:30PM

Hours Per Week

40

Job Description

Manages revenue integrity process to ensure accurate and timely changes are captured. Performs a variety of duties related to compliance for charging patient services and supplies. Priorities will include review of Charge Description Master for completeness and to establish charges for patient related services, procedures and supplies. Oversees APC program by implementing changes and education of staff. Works independently providing consultation to departments and entities. Work is received by the Manager of Revenue Cycle.

Minimum Requirements

• Bachelor's degree in business or the equivalent in a combination of education and accumulated relevant experience
• Possess and maintain certification as follows: RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H
• Experience in auditing for medical procedures code accuracy and completeness
• Minimum of three years experience in a health care setting, preferably at a large acute care facility
• Extensive knowledge of Medicare/ Medicaid guidelines required for compliance
• Experience in facilitating and training large and small groups and conducting one-on-one training
• Ability to effectively communicate with all departments that interface with the charge description master
• Ability to collect and analyze cost data and prepare reports and documents utilizing a computer and various software data bases.

Preferred

• Auditing Certification
• Extensive experience with healthcare billing and reimbursement guidelines
• Charge audit experience