Senior Revenue Integrity Analyst — Epic CDM Expert

Dayton Children's Hospital; Rome (OH); Hybrid; USD 75,000 - 95,000; Full time

Job summary

Dayton Children's Hospital is looking for a Senior Revenue Integrity Analyst to oversee and ensure accurate billing in their Revenue Integrity Services department. The role involves planning and maintaining workflows and compliance with regulatory changes.

The ideal candidate will have a Bachelor’s degree in Health Information Management or Finance, along with 6-10 years of experience in revenue integrity analysis in healthcare. Familiarity with Epic and certification in CDM Management are essential.

Qualifications

• 6-10 years of revenue integrity analysis experience in healthcare.
• EPIC CDM/Revenue Integrity certification within 6 months of employment required.
• Experience with CPT and HCPCS codes.

Responsibilities

• Establish and enforce the hospital’s pricing and coding.
• Maintain work queues and understand yearly regulatory changes.
• Coordinate with various departments for operational support.

Skills

Revenue integrity analysis

CPT code research

Microsoft Office proficiency

Education

Bachelor’s degree in Health Information Management or Finance

Master’s degree

Tools

Epic electronic health record

Trisus (Craneware)

Strata

Job description

Dayton Children's Hospital is looking for a Senior Revenue Integrity Analyst to oversee and ensure accurate billing in their Revenue Integrity Services department. The role involves planning and maintaining workflows and compliance with regulatory changes.

The ideal candidate will have a Bachelor’s degree in Health Information Management or Finance, along with 6-10 years of experience in revenue integrity analysis in healthcare. Familiarity with Epic and certification in CDM Management are essential.