Revenue Integrity Analyst – University Physicians

University of Missouri - Columbia; Columbia Township (MO); On-site; USD 59,000 - 97,000; Full time

Job summary

University of Missouri - Columbia seeks a Revenue Integrity Analyst in University Physicians, Plan Administration to monitor revenue integrity, review CPT/HCPCS changes, and present findings for corrective actions. You will develop tools to track potential revenue loss and lead regular meetings to review performance indicators across divisions.

This position is eligible for the University Physicians work-from-home program.

Qualifications

• Bachelor's degree in business, healthcare, or related field or equivalent combination of education and experience.
• Three (3) years of experience in healthcare revenue cycle, coding, clinical, or related field.

Responsibilities

• Monitor revenue departments’ adherence to charge reconciliation processes and metrics.
• Review changes in CPT, HCPCS, and revenue codes for accuracy and compliance.
• Perform revenue integrity reviews and present findings for corrective action.
• Develop tools to track and identify potential areas of lost revenue.
• Plan and conduct regular meetings with assigned Divisions to review KPIs and discuss revenue leakage and performance improvements.

Skills

Analytical skills

Communication skills

Problem solving

Education

Bachelor's degree in business/healthcare

Job description

Hiring Department

University Physicians, Plan Administration

Job Description

#upjobs

Monitor revenue departments’ adherence to charge reconciliationprocesses and metrics measured by key performance indicators.Review changes in CPT, HCPCS, and revenue codes for accuracy,compliance with applicable billing guidelines, and optimization ofreimbursement. Perform revenue integrity reviews and presentfindings for corrective action – these are reviews of a specifictopic with a focus on documentation and coding requirements. Serveas a resource for organizational and operational matters related torevenue integrity issues. Monitor, investigate, and resolve revenueintegrity concerns and opportunities reported in their area andprovide any necessary follow-up. Develop tools to track andidentify potential areas of lost revenue. Plan and conduct regularmeetings with assigned Divisions to review key performanceindicators and discuss potential revenue leakage and performanceimprovement opportunities.

Eligible to work four ten hour shifts or five eight hour shifts.

This position is eligible for the University Physicians work fromhome program.

Shift

Monday – Friday 8-5

Minimum Qualifications

• Bachelor's degree in business, healthcare, or a related field or an equivalent combination of education and experience from which comparable knowledge, skills, and abilities can be acquired.
• Three (3) years of experience in healthcare revenue cycle, coding, clinical, or a related field.

Preferred Qualifications

• Years of Experience: Experience in HC, preferably 5+ years, but not required.
• Additional Training: Knowledge of CPT-HCPCS, third party reimbursement methodologies, and revenue cycle process. Knowledge of inpatient and outpatient billing requirements, coding guidelines and CMS Medicare reimbursement methodology. Excellent communication and interpersonal skills with the ability to effectively interpret, communicate and educate others. Strong quantitative, analytical and organizational skills. Ability to respond to complex inquiries in a professional and efficient manner.

Anticipated Hiring Range

Salary Range: $59,322.00 - $96,761.60 annually

Grade: PAT - 009

University Title: REV INTEG ANALYST, UNI PHYS

Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

Sponsorship Information

Employment visa sponsorship is not available for this position.

Benefit Eligibility

This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at https://www.umsystem.edu/departments-staff/human-resources/benefits-retirement.

Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer.

To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.