Revenue Integrity Analyst & Coder

Eisenhower Medical Center; Rancho Mirage (CA); On-site; USD 85,000 - 130,000; Full time

Benefits offered by this job

Benefits package

Matched retirement plan

Job summary

Eisenhower Medical Center in Rancho Mirage, CA is seeking a Revenue Integrity Specialist to audit charge master records, ensure compliant charge capture, and guide departments on billing processes. The role emphasizes collaboration with Payor Relations and leadership to maximize reimbursement while upholding regulatory standards.

The position involves analyzing tools used for charge capture, compiling audit findings, and driving process improvements across the revenue cycle.

Qualifications

• Audits of revenue-generating departments’ CDM files and ensures proper recording.
• Guides staff on charge capture, charging structures, and billing processes.
• Prepares audit findings and presents recommendations to leadership.
• Assesses accuracy of charge capture tools and suggests changes.
• Reviews bill rejection reports for compliant billing practices.
• Identifies deficiencies and opportunities for process improvement.

Responsibilities

• Partner with Revenue Recognition, Charge Master, and Payor Relations to align charge structures with compliance.
• Provide guidance and education to departments and clinics on correct charge capture.
• Assist leadership in identifying process improvements and system enhancements.
• Maximize reimbursement while ensuring regulatory compliance.
• Support audit findings and contribute to reporting to leadership.

Skills

Audit CDM files

Charge capture

Compliance

Revenue cycle

Interdepartmental communication

Financial analysis

Process improvement

Data analysis

Staff training

Problem solving

Education

Bachelor's degree in Healthcare Administration or related

Job description

Eisenhower Medical Center in Rancho Mirage, CA is seeking a Revenue Integrity Specialist to audit charge master records, ensure compliant charge capture, and guide departments on billing processes. The role emphasizes collaboration with Payor Relations and leadership to maximize reimbursement while upholding regulatory standards.

The position involves analyzing tools used for charge capture, compiling audit findings, and driving process improvements across the revenue cycle.