Revenue Integrity Specialist Chargemaster & Compliance

Jefferson Health; Jefferson Center (PA); On-site; USD 85,000 - 120,000; Full time

Job summary

Jefferson Health seeks a Revenue Integrity Analyst to improve charging accuracy and ensure compliant billing practices across clinical service lines. The role collaborates with Revenue Cycle and clinical departments to interpret payer guidelines and minimize claim edits.

The ideal candidate has 5+ years in hospital revenue cycle with auditing or coding experience, and displays strong communication and project management skills. This position is based in Philadelphia, PA.

Qualifications

• Bachelor's or Associate’s degree in HIM, Business Admin, Accounting, Management, or Healthcare Administration.
• Must hold RHIA, RHIT, CCS or CPC credentials; AA HAM / HFMA certifications preferred.

Responsibilities

• Identify charge edit trends and recommend workflow improvements.
• Perform focused charge reviews to ensure charges align with policies and timeframes.
• Act as service-line liaison between Revenue Cycle and clinical departments on revenue, regulatory, coding and billing issues.
• Advise on proper charge code usage to capture revenue per payer guidelines.
• Review and approve changes to the Charge Description Master.
• Assist in chargemaster education and training.

Education

Bachelor's or Associate’s degree in Health Information Management or related field

Job description

Jefferson Health seeks a Revenue Integrity Analyst to improve charging accuracy and ensure compliant billing practices across clinical service lines. The role collaborates with Revenue Cycle and clinical departments to interpret payer guidelines and minimize claim edits.

The ideal candidate has 5+ years in hospital revenue cycle with auditing or coding experience, and displays strong communication and project management skills. This position is based in Philadelphia, PA.