Revenue Integrity Analyst

Insight Global; United States; Remote; USD 73.000 - 99.000; Vollzeit

Benefits dieser Stelle

Healthcare insurance

Paid leave

Zusammenfassung

Insight Global is seeking a Revenue Integrity Analyst to support the Revenue Integrity department and serve as the subject matter expert on hospital charge capture, entry, and charge reconciliation. This role partners with clinical and operational leaders to drive improvements and identify revenue optimization opportunities.

You will ensure billing compliance and accurate charge capture through education, audits, and monitoring of regulatory and coding changes, while analyzing charge-related

Qualifikationen

• 5+ years of Revenue Integrity experience.
• Epic experience required.
• CPC or CCS coding certification required.
• Strong understanding of hospital coding and charge capture workflows.
• CMS regulations knowledge across multiple service lines.
• Multi-specialty charting experience (Cardiology, radiation oncology, diagnostic radiology).
• Experience servicing physician queries and creating action plans from denial reports.

Aufgaben

• Support the Revenue Integrity department and act as liaison on charge capture and entry.
• Drive charge integrity improvements and revenue optimization opportunities.
• Educate, audit, and monitor regulatory and coding changes to ensure compliance.
• Analyze charge-related metrics to minimize revenue leakage.

Kenntnisse

Revenue Integrity

Denial management

Physician queries

Multi-specialty charting

Ausbildung

CPC certification

CCS certification

Tools

Epic

Jobbeschreibung

Location: REMOTE- Team based out of 9 Farm Springs. Farmington, CT

Work Model: Remote

Schedule: 8:00am-5:00pm

Duration: Permanent

Day-to-Day Responsibilities

Insight Global is seeking a Revenue Integrity Analyst to support the Revenue Integrity department and serves as the key liaison and subject matter expert on all aspects of hospital charge capture and entry, charge integrity and charge reconciliation processes. This role partners with clinical and operational leaders to drive charge capture and integrity improvement initiatives, including charge reconciliation, new service implementation, CDM and payer audits, and identification of revenue optimization opportunities. The analyst ensures billing compliance and accurate charge capture through education, auditing, monitoring of regulatory and coding changes, and analysis of charge-related metrics, with a focus on minimizing revenue leakage and supporting compliant reimbursement.

Interview Process - 2 Virtual Rounds

• 1st Round: 30 minute- Phone interview with Director
• 2nd Round: Virtual Interview with Manager

Must Haves

• 5+ years of Revenue Integrity experience
• Epic experience required
• Coding certification required: CPC or CCS
• Strong understanding of hospital coding and charge capture workflows
• Understanding of CMS regulations- for multiple service lines (below)
• Multi-specialty charting experience- Cardiology, radiation oncology, diagnostic radiology
• Working experience with servicing physician queries and creating action plans from denial reports

$86k annual salary.

Exact compensation may vary based on several factors, including skills, experience, and education.

Benefit packages for this role may include healthcare insurance offerings and paid leave as provided by applicable law.