Revenue Integrity Analyst

Talentify; Lake Park (FL); On-site; USD 43,000 - 68,000; Full time

Job summary

Intermountain Health is seeking a Revenue Integrity Analyst to optimize charge capture and ensure regulatory compliance across service lines. The role includes data mining, report development, and collaboration with multidisciplinary teams to improve revenue and patient experience.

Responsibilities encompass analyzing trends, educating staff on charge capture and reporting, and researching payor guidelines to maintain compliance and operational excellence.

Qualifications

• Demonstrated attention to detail with excellent organizational and analytical skills.
• Flexibility and adaptability to change.
• Ability to work in a clinical operational area and/or revenue integrity team to support department outcomes.
• Experience working with a multi-disciplinary team to optimize patient experience and operational success.

Responsibilities

• Analyzes data, develops reports, reviews trends and recommends enhancements as defined by leadership.
• Participates, researches and follows-up on topics from department and system-wide initiatives.
• Monitors trends in coding, charge capture and editing processes to improve team performance; researches CMS and payer guidelines for compliance.
• Provides education and guidance to revenue cycle and clinical operations on report development and revenue monitoring.
• Performs extensive data mining and regulatory/payer policy review; abstracts financial and clinical information.

Skills

Data Mining

Healthcare regulations

Health Insurance

Medical terminology

Communication

Detail-oriented

Problem solving

Data Analysis

Excel

Education

Bachelor's degree in finance, healthcare management, data science or related field

Epic clinical or billing applications

Tools

Epic

Job description

About this job

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.

• 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

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.

Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

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.

All positions subject to close without notice.