Revenue Integrity Analyst (Hybrid)

Truman Medical Centers; Northpoint (AR); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Truman Medical Centers in Kansas City, MO, seeks a Revenue Integrity Analyst to support accurate charging for patient services and supplies. The role is hybrid, 8:00AM–4:30PM, 40 hours/week, reporting to Revenue Integrity.

You will review the CMS Charge Description Master and oversee the APC program, providing training and consultation across departments. Requires a bachelor’s degree in business or equivalent, and RHIA/RHIT/CCS/CCS-P/CPC or CPC-H certifications.

Qualifications

• Bachelor’s degree in business or equivalent required.
• Certification RHIA/RHIT/CCS/CCS-P/CPC or CPC-H required or preferred.
• Experience auditing medical procedure codes for accuracy and completeness.
• Minimum of three years in a health care setting, preferably large acute care.
• Extensive knowledge of Medicare/Medicaid guidelines for compliance.
• Experience training groups and communicating with multiple departments.
• Ability to collect and 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 Charge Description Master for completeness and to establish charges.
• Oversees APC program by implementing changes and staff education.
• Provides consultation to departments and entities; work received by Manager.

Skills

Healthcare auditing

Medical coding

Communication

Training

Education

Bachelor’s degree in business or equivalent

RHIA/RHIT/CCS/CCS-P/CPC or CPC-H certification

Job description

Revenue Integrity Analyst (Hybrid) 101 Truman Medical Center

Job Location Northpoint Kansas City, Missouri

Department Revenue Integrity

Position Type Full time

Work Schedule 8:00AM - 4:30PM

Hours Per Week 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

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