Revenue Integrity Analyst - Onsite in Las Vegas

University Medical Center of Southern Nevada (UMC)

Las Vegas (NV)

On-site

USD 90,000 - 120,000

Full time

14 days+

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Benefits offered by this job

Employer-paid pension

Job summary

University Medical Center of Southern Nevada (UMC) in Las Vegas, NV seeks a Revenue Integrity professional to maintain Chargemaster, conduct audits and improve revenue capture. The role requires reviewing coding, medical records and regulatory compliance to ensure accurate charges.

Ideal candidate has RN licensure or coding certification with 3+ years in hospital charge review, and familiarity with Epic and CDM maintenance. UMC offers a strong benefits package and a pension plan.

Qualifications

Graduation from an accredited school of nursing or equivalent to a Bachelor's Degree in healthcare, finance or related field.
Three years of experience in hospital charge review, medical records, regulatory compliance or claims auditing.
Valid RN license or CPC/CCS-P/CHRI certification or ability to obtain within 1 year.

Responsibilities

Maintain the Chargemaster fee schedule in accordance with coding practices and regulations.
Conduct quality control audits and review charge capture workflows for missed revenue opportunities.
Identify edits in hospital systems affecting billing accuracy and compliance.
Serve as liaison between Revenue Cycle, clinical operations and IT regarding revenue, compliance and workflow build.
Ensure CPT, HCPCS and revenue codes are accurate and compliant with billing guidelines.