Revenue Integrity Specialist

Talentify; Rapid City (SD); On-site; USD 34,000 - 42,000; Full time

Benefits offered by this job

Medical, Vision and Dental Coverage

Retirement Plans

Flexible Spending Account

Instant pay

Job summary

The Revenue Integrity Analyst at Monument Health Rapid City Hospital, Inc. is responsible for monitoring charge capture, coding accuracy, and variances between billed amounts and expected reimbursement from payers.

This role requires knowledge of state and federal regulations and payer contracts to defend claims submissions for services provided. You will perform prospective and retrospective audits, verify EMR data and charges, and collaborate with the Revenue Cycle team to improve charge

Qualifications

• Experience in healthcare billing, payment processing and denial management.
• Knowledge of state and federal laws and payer contracts relevant to revenue integrity.
• Auditing and monitoring charge capture and coding accuracy.

Responsibilities

• Understands the Revenue Cycle and department goals and their impact on financial health.
• Performs audits to detect omissions or errors in charge capture, coding, and billing.
• Verifies EMR data, charges, and denial reasons; communicates corrections.
• Supports denial management and appeals processes with payors and care teams.
• Maintains documentation and reporting on audits and improvements.

Skills

Charge capture

Revenue Cycle software

Denials management

Audit techniques

Regulatory compliance

Education

High School Diploma/ GED

Bachelor's degree in healthcare management

Tools

EMR systems

Revenue Cycle software

Job description

The Revenue Integrity Analyst at Monument Health Rapid City Hospital, Inc. is responsible for monitoring charge capture, coding accuracy, and variances between billed amounts and expected reimbursement from payers.

This role requires knowledge of state and federal regulations and payer contracts to defend claims submissions for services provided. You will perform prospective and retrospective audits, verify EMR data and charges, and collaborate with the Revenue Cycle team to improve charge