Revenue Integrity Analyst

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

POSITION WILL BE ONSITE IN LAS VEGAS, NV AND IS NOT ELIGIBLE FOR REMOTE WORK

EMPLOYER-PAID PENSION PLAN (NEVADA PERS) COMPETITIVE SALARY & BENEFITS PACKAGE

As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients.

UMC is a Level I Trauma Center, home of the ONLY Verified Burn Center, and Transplant Center. In 2026, we became the FIRST and ONLY Magnet®-Recognized hospital in the state, reflecting UMC's nursing professionalism, teamwork, and superiority in patient care.

Position Summary:

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 will 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.

Education/Experience:

Graduation from an accredited school of nursing or equivalent to a Bachelor's Degree in healthcare, finance or a closely related field and three (3) years experience in reviewing hospital charge capture, medical records, clinical charts, regulatory and policy compliance, and/or claims auditing.

Licensing/Certification Requirements:

Valid state license as a Registered Nurse or certification in one of the following: Certified Professional Coder (CPC), Certified Coding Specialist - Physician based (CCS-P), Certification in Healthcare Revenue Integrity (CHRI), or the ability to obtain certificate within one (1) year of employment. Failure to obtain and/or maintain licensure will result in termination of employment.

• 1-2 Years of Outpatient Procedural Coding experience
• 2 Years of maintaining CDM
• Experience using Epic
• Experience in Revenue Cycle Management
• Experience in Revenue Integrity
• Knowledge of CPT, HCPCS and Revenue Codes

Knowledge of:

Compliance regulations related to documentation, coding, and billing requirements; clinical revenue integrity processes and impact through revenue cycle; auditing concepts and principles; reviewing medical records and coding documents according to standard practice; department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures.

Skill in:

Developing effective solutions for complex business challenges; leading teams to consensus; developing training materials; reviewing and verifying accuracy of data; reviewing medical records and coding documents according to standard practice; using initiative and independent judgment within general policy guidelines; preparing clear and concise reports, correspondence and other written materials; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.

Physical Requirements and Working Conditions:

Mobility to work in a typical office setting and use standard equipment, stamina to remain seated for extended periods of time, vision to read printed materials and a computer screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. May work shifts and weekends. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.