RN Analyst Revenue Integrity

CommonSpirit Health; Bakersfield (CA); In loco; USD 80.000 - 110.000; Tempo pieno

Descrizione del lavoro

CommonSpirit Health in Bakersfield, CA is seeking a Revenue Integrity RN to apply clinical and analytical skills in support of revenue reporting and systems. You will optimize revenue operations, help improve net revenue realization, and collaborate across departments to develop reports and education on revenue processes.

The role requires CA RN licensure and 3–5 years in a Cath Lab setting, with experience in revenue operations and coding familiarity.

Competenze

• Current CA RN license required at hire.
• 0

Mansioni

• Access and coordinate data from hospital systems to identify revenue opportunities.
• 2
• Develop and generate reporting templates for monitoring revenue performance.
• 3
• Assist in CDM maintenance and coding research.
• 3
• Model reimbursement terms to estimate financial impact.
• 3
• Prepare and post daily charges for Cath Lab with high accuracy.
• 3
• Perform daily charge reconciliation with departments for rejected charges.

Conoscenze

Revenue operations

Charge capture

Data analysis

Formazione

CA RN license

BLS CPR certification

Strumenti

Charge entry systems

Coding systems

Descrizione del lavoro

Job Summary and Responsibilities

As a Revenue Integrity RN, you will apply your clinical and analytical expertise to support the Revenue Reporting and Systems Department, ensuring cost-effective, compliant revenue generation aligned with organizational values.

Every day you will optimize revenue operations, identify opportunities to improve net revenue realization and cash flow, and serve as a vital resource for internal departments including patient financial services and finance.

To be successful in this role, you will develop reports, provide clinical and financial education on revenue operations, and collaborate with analysts and department managers. Your support across multiple hospital sites is critical for controlling late charges and enhancing charge capture.

• Access and coordinate data from various hospital and Dignity Health systems for the purpose of opportunity identification, monitoring and reporting of revenue cycle performance from a clinical perspective.
• Coordinates with other departments including finance, decision support, business office, etc., to develop and generate reporting templates for monitoring and troubleshooting revenue performance.
• Assist in maintenance of CDM including research of appropriate coding, cost and pricing information, assisting CDM analyst as necessary.
• Modeling reimbursement terms to determine expected financial impact of process and chargemaster modifications.
• Evaluate and respond to data/statistical report request from other departments, division, and systems offices.
• Responsible in the preparation and posting of daily charges for the Cath Lab with a 96% accuracy rate. Performing Charge Reconciliation with the individual departments for any rejected charges on a daily basis.

Job Requirements

Required

• Current CA RN license Education level necessary to obtain required licensure and certifications., upon hire and
• 3-5 years experience in the Cath Lab as well as other acute care settings within the hospital., upon hire and
• Registered Nurse: CA, upon hire and
• Basic Life Support - CPR, upon hire and

Preferred

• Experience and/or familiarity in revenue operations, charge entry, and coding. , upon hire
• Certified Coding Specialist, upon hire

Where You'll Work

Founded in 1956, Dignity Health - Memorial Hospital is a 385-bed, acute care, nonprofit hospital located in Bakersfield, California. Serving nearly 100,000 patients annually, the hospital offers a full complement of services including heart care, maternity care, and orthopedics. Additionally, Memorial Hospital has been recognized as an LGBTQ+ Healthcare Equality Leader by the Human Rights Campaign Foundation. It is a Joint Commission-certified Primary Stroke Center, and its Lauren Small Children’s Center is the first comprehensive pediatric program in Kern County.

One Community. One Mission. One California