Revenue Integrity Analyst (Hybrid)

University Health; Kansas City (MO); Hybrid; USD 70,000 - 100,000; Full time

Job summary

University Health in Kansas City, Missouri, seeks a Revenue Integrity Analyst to manage processes ensuring accurate and timely changes in charges for patient services and supplies. The role includes reviewing the Charge Description Master and overseeing APC programs with staff education.

Qualifications include a bachelor’s in business or equivalent and RHIA/RHIT/CCS/CCS-P/CPC or CPC-H certifications, plus 3+ years in healthcare and Medicare/Medicaid compliance knowledge.

Qualifications

• Bachelor's degree in business or equivalent is required.
• Certification RHIA/RHIT/CCS/CCS-P/CPC or CPC-H required.
• Experience auditing medical procedures codes for accuracy and completeness.
• Minimum of three years in a health care setting, preferably at a large acute care facility.
• Extensive knowledge of Medicare/Medicaid guidelines for compliance.
• Experience training large and small groups and conducting one-on-one training.
• Ability to communicate with all departments interfacing with the charge description master.
• Ability to collect/analyze cost data and prepare reports.

Responsibilities

• Manages revenue integrity process to ensure accurate and timely changes are captured.
• Performs duties related to compliance for charging patient services and supplies.
• Reviews the Charge Description Master for completeness and to establish charges for patient services/procedures/supplies.
• Oversees APC program by implementing changes and educating staff.
• Provides consultation to departments and entities; work is directed by the Manager of Revenue Cycle.

Skills

Auditing

Cost analysis

Training

Communication

Education

Bachelor's degree in business or equivalent

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

Job description

Revenue Integrity Analyst (Hybrid)101 Truman Medical Center

NorthpointKansas City, Missouri

Revenue Integrity

Full time

8:00AM - 4:30PM

40

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