Revenue Integrity Analyst (Hybrid)

trumed; United States; Hybrid; USD 70,000 - 110,000; Full time

Job summary

Truman Medical Center is seeking a Revenue Integrity Analyst for a hybrid role in Kansas City, MO. You will manage revenue integrity processes, review the CDM for accuracy, and oversee APC programs while educating staff.

Requires a bachelor’s degree in business or related field and certifications (RHIA/RHIT/CCS/CCS-P/CPC/CPC-H), plus 3+ years of healthcare coding audit experience.

Qualifications

• Bachelor's degree in business or equivalent education/experience.
• Certification RHIA, RHIT, CCS, CCS-P, CPC, or CPC-H.
• Minimum 3 years auditing medical procedures code accuracy.
• Experience in health care setting, preferably large acute care facility.
• Extensive knowledge of Medicare/Medicaid guidelines for compliance.
• Experience in facilitating and training large and small groups and conducting one-on-one training.
• Ability to communicate with departments interfacing with the charge description master.
• Ability to collect and analyze cost data and prepare reports using a computer and databases.

Responsibilities

• Manages revenue integrity processes to ensure accurate and timely changes are captured.
• Review Charge Description Master for completeness and establish charges for patient services, procedures and supplies.
• Oversee APC program by implementing changes and education of staff.
• Provide consultation to departments and entities; work independently under supervision of Revenue Cycle Manager.

Skills

Audit procedures

Interdepartmental communication

Training experience

Education

Bachelor's degree in business

RHIA

RHIT

CCS

CCS-P

CPC

CPC-H

Tools

CDM knowledge

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

Job Description

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