Revenue Integrity Specialist

Luminis Health; Annapolis (MD); On-site; USD 60,000 - 107,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Retirement plan with employer match

Paid time off

Tuition assistance

Employee referral bonus

Holidays and more

Wellness programs

Job summary

Luminis Health in Annapolis, MD is seeking an Analyst, Revenue Integrity to oversee charge controls, maintain the CDM, and implement governmental updates to support accurate revenue recognition. You will review charge reports, generate reconciliation data, educate facilities, and collaborate with hospital leaders to resolve issues and improve claim accuracy.

The role requires a relevant bachelor's degree and 2+ years in Revenue Cycle support.

Qualifications

• BS in Finance, Accounting or Healthcare related field preferred.
• 2+ years experience supporting Revenue Cycle and Clinical systems.

Responsibilities

• Pulls weekly performance reports and shares findings with organizational stakeholders.
• Generates daily reconciliation reports and coordinates calls between departments, CBOs, and Administration.
• Manages, coordinates, updates, and implements the Charge Description Masters (CDM).
• Provides assistance and analysis to clinical management for CDM changes.
• Educates clinical departments on CPT-4 codes or charge codes.
• Performs additional duties including research, report writing, and account analysis.
• Conducts audits of CDM against department CDM systems and updates.
• Analyzes CDM data and assigns CPT/HCPCS and revenue codes.
• Reviews revenue cycle and clinical systems to maintain charge integrity.
• Makes CDM-related decisions requiring high-level analysis and investigation.
• Identifies billing irregularities and recommends next steps.

Skills

Revenue integrity principles

Charge reconciliation

CDM maintenance

Data analysis

Healthcare billing knowledge

Education

BS in Finance/Accounting/Healthcare

Job description

Luminis Health in Annapolis, MD is seeking an Analyst, Revenue Integrity to oversee charge controls, maintain the CDM, and implement governmental updates to support accurate revenue recognition. You will review charge reports, generate reconciliation data, educate facilities, and collaborate with hospital leaders to resolve issues and improve claim accuracy.

The role requires a relevant bachelor's degree and 2+ years in Revenue Cycle support.