Revenue Integrity Analyst

Truman Medical Center; Northpoint (AR); On-site; USD 75,000 - 98,000; Full time

Job summary

Truman Medical Center in Kansas City, MO seeks a Revenue Integrity Analyst to manage processes ensuring accurate charging for patient services and supplies. You will review the Charge Description Master for completeness, oversee APC changes, and educate staff across departments to strengthen compliance and revenue capture.

The ideal candidate holds a bachelor’s degree in business or related field, applicable RHIA/RHIT/CCS/CPC credentials, and at least three years in healthcare.

Qualifications

• Bachelor’s degree in business or related field.
• RHIA/RHIT/CCS/CCP-C/CPC/CPC-H certification is required or preferred.
• Minimum of three years of experience in a healthcare setting.
• Extensive knowledge of Medicare/Medicaid guidelines for compliance.
• Experience auditing medical procedure codes for accuracy and completeness.
• Strong training and group facilitation skills; ability to work with diverse departments.
• Effective communication with all interfaces of the Charge Description Master and related data systems.

Responsibilities

• Manages revenue integrity processes to ensure accurate charges for patient services and supplies.
• Reviews Charge Description Master for completeness and to establish charges for services and supplies.
• Oversees APC program by implementing changes and staff education.
• Works independently, providing consultation to departments; reports to Revenue Cycle Manager.

Skills

Auditing

Cost analysis

Training

Communication

Healthcare compliance

Education

Bachelor’s degree in business or related field

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

Job description

Revenue Integrity Analyst

101 Truman Medical Center

• Job Location Northpoint
• Kansas 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