Revenue Integrity Analyst – Charge Capture & Denials

SouthEast Alaska Regional Health Consortium (SEARHC); Juneau (AK); On-site; USD 44,000 - 61,000; Full time

Benefits offered by this job

Health insurance

Dental

Vision

Life Insurance

Disability insurance

Paid time off

Retirement plan

Job summary

SouthEast Alaska Regional Health Consortium (SEARHC) seeks a Revenue Cycle Analyst to optimize and support revenue cycle applications, improve charge capture, and enhance reimbursement accuracy in a nonprofit health system serving Southeast Alaska.

You will collaborate with clinical, operational, and finance teams, perform data analyses, and ensure compliance with payer requirements. SEARHC offers comprehensive benefits and opportunities for professional growth.

Qualifications

• Bachelor's degree or equivalent combination of education and/or work experience.
• 4 years of work experience may be exchanged for a bachelor's degree.
• AAHAM, AAPC, AHIMA, PTCB or other certification or licensure - Preferred

Responsibilities

• Optimize and troubleshoot revenue cycle applications.
• Collaborate with clinical and operational teams to develop integrated design solutions.
• Analyze data to support Revenue Cycle initiatives in identification, definition, resolution planning, and implementation for system & user deviations, inconsistencies, and process failures.
• Serves as an internal resource on registration, authorizations, coding, CDI, CDM management, claims, edits, billing compliance, denials, remittance processing, and/or reporting & analytics.
• Workflow analysis
• Payer contract analysis and ensuring payments consistent with negotiated contracts
• Identification of root causes of issues driving controllable denials, partnering with finance leadership to address implicated operational issues, workflow issues, and training gaps
• Performs quality assurance and validation tasks
• Provides education and guidance to patient revenue generating departments/providers to ensure appropriate charge capture

Skills

Critical thinking

Problem solving

Multitasking

Attention to detail

Education

Bachelor's degree or equivalent

2 years of work experience may be exchanged for bachelor's degree

Tools

Microsoft Excel

Microsoft Word

Electronic Health Record (EHR) systems

Job description

SouthEast Alaska Regional Health Consortium (SEARHC) seeks a Revenue Cycle Analyst to optimize and support revenue cycle applications, improve charge capture, and enhance reimbursement accuracy in a nonprofit health system serving Southeast Alaska.

You will collaborate with clinical, operational, and finance teams, perform data analyses, and ensure compliance with payer requirements. SEARHC offers comprehensive benefits and opportunities for professional growth.