RN Analyst Revenue Integrity

CommonSpirit Health; Bakersfield (CA); Vor Ort; USD 90.000 - 120.000; Vollzeit

Zusammenfassung

Bakersfield Memorial Hospital is seeking a Revenue Integrity RN to optimize revenue operations and support the Revenue Reporting and Systems Department across multiple hospital sites.

You will develop reports, provide clinical and financial education on revenue processes, and collaborate with analysts and department managers to improve net revenue realization and cash flow.

Qualifikationen

• CA RN license is required.
• 3–5 years experience in the Cath Lab and acute care settings.
• RN license in CA and BLS/CPR mandatory.

Aufgaben

• Support Revenue Reporting and Systems Department with revenue cycle optimization.
• Develop reports and provide clinical and financial education on revenue operations.
• Collaborate with analysts and department managers across hospital sites.
• Assist in maintaining CDM, researching coding and pricing information.
• Model reimbursement terms to assess financial impact of chargemaster changes.
• Post daily charges for the Cath Lab with high accuracy and reconcile rejected charges.

Kenntnisse

Revenue operations

Charge capture

Data reporting

Collaboration

Clinical education

Ausbildung

CA RN license

BLS/CPR certification

Tools

CDM knowledge

Coding familiarity

Jobbeschreibung

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