Revenue Integrity Analyst

Adventist Health System; Town of Florida (NY); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare organization is seeking a Revenue Integrity Analyst to support the Revenue Integrity team in ensuring optimal reimbursement of entitled revenue. Responsibilities include data analysis, monitoring specific workqueues, and collaboration with specialists to enhance the revenue cycle. Ideal candidates will have a Bachelor's degree and at least 2 years of analytical experience in healthcare. This role offers professional growth opportunities in a supportive environment.

Benefits

Benefits from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Qualifications

• 2+ years of experience as an analyst in hospital decision support or business intelligence applications.
• 5+ years of applicable experience can substitute for a Bachelor's Degree.

Responsibilities

• Support the Revenue Integrity team to ensure optimal reimbursement of entitled revenue.
• Analyze data and generate reports to identify revenue and compliance risks.

Skills

Data analysis

Collaboration

Communication

Education

Bachelor’s in Business, Accounting, Finance, Health Administration, or another related field

Master’s degree

Tools

Reporting tools

Epic

Job description

Overview

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Shift: Monday-Friday

Job Location : Remote

The role you will contribute

The Revenue Integrity Analyst is responsible for supporting the Revenue Integrity team to ensure optimal reimbursement of entitled revenue. This position uses reporting tools, data extraction, and analysis to understand revenue and compliance risks and opportunities. Additionally, this role monitors Revenue Integrity specific workqueues, including Revenue Guardian checks, charge reviews, and charge router workqueues. In addition, this position supports troubleshooting needs and disseminates best practices across service line teams. Ensures active communication and collaboration with the Revenue Integrity Specialist to achieve a world-class revenue cycle.

The value you will bring to the team

• Routes and escalates issues or questions to the specific Revenue Integrity team responsible for the area under review.
• Analyzes data and generates reports to identify revenue and compliance risks and opportunities.
• Monitors Revenue Integrity specific workqueues, including Revenue Guardian checks, charge reviews, and charge router workqueues.
• Supports troubleshooting needs and disseminates best practices across service line teams.
• Collaborates with the Revenue Integrity Specialist to achieve optimal reimbursement and a world-class revenue cycle.
• Maintains reports and dashboards to support department and service line goals and objectives.
• Works with Division Revenue Integrity Specialists and CDM team to optimize work queue logic.
• Coordinates with AIT/Health Informatics for additional educational material for clinical end-users.
• Analyzes work queue volume details around charge assignments to customize knowledge sharing for the Revenue Integrity team.
• Identifies focused areas for account reviews and risk assignments.
• Manages exception-based Revenue Integrity-owned Epic workqueues, such as Revenue Guardian, Charge Review, and Charge Router.

The expertise and experiences you’ll need to succeed

• Bachelor’s in Business, Accounting, Finance, Health Administration, or another related field with 2+ years of experience as an analyst in hospital decision support, business intelligence applications.
• OR in lieu of Bachelor’s Degree, 5 or more years of applicable experience.

Preferred Qualifications

• Master’s degree with 1 year of experience
• HFMA’s Certified Healthcare Financial Professional (CHFP) or
• Certified Revenue Cycle Representative (CRCR); or
• NAHRI’s Certification in Healthcare Revenue Integrity (CHRI)
• Epic experience