Revenue Integrity Analyst: Optimize Billing & Compliance

Beth Israel Lahey Health

Center, Northern (TX, KY)

Hybrid

USD 34,000 - 50,000

Full time

4 days ago
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Job summary

Beth Israel Lahey Health seeks a Revenue Integrity Analyst to optimize professional and hospital revenue capture, ensuring compliance with CMS and payer rules. You will educate providers, support charge capture workflows, and collaborate with Epic analysts on system enhancements.

The role emphasizes analytics, auditing, and frontline problem solving to maximize gross revenue and net reimbursement across modalities.

Qualifications

  • Associates Degree required; additional healthcare revenue cycle experience accepted with 4 extra years.
  • Epic proficiency or certification required for Charge Description Master.
  • 2+ years of healthcare revenue cycle experience.
  • Knowledge of CPT, HCPCS, ICD-10 coding principles.
  • Proficiency in data entry and Excel; ability to interpret financial reports.

Responsibilities

  • Provide high-level Revenue Cycle support for professional services across on-site and off-site locations.
  • Assist in evaluating charge capture workflows and recommend improvements.
  • Monitor revenue reports and identify negative trends to improve front-end workflow.
  • Coordinate with Epic system analysts on revenue cycle software implementations impacting capture and scrubbing.
  • Develop and maintain monthly production reports and KPI dashboards.
  • Stay current on new services and chargemaster policies; perform internal audits.

Skills

Epic proficiency
Revenue cycle expertise
CMS regulations knowledge
Analytical thinking
Communication skills

Education

Associate's degree in business/finance
Epic certification (Charge Description Master)

Tools

Epic system

Job description

Beth Israel Lahey Health seeks a Revenue Integrity Analyst to optimize professional and hospital revenue capture, ensuring compliance with CMS and payer rules. You will educate providers, support charge capture workflows, and collaborate with Epic analysts on system enhancements.

The role emphasizes analytics, auditing, and frontline problem solving to maximize gross revenue and net reimbursement across modalities.

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