Revenue Integrity Analyst
Job ID: BH480963
Category: Financial Analyst, Accounting and Finance
Specialty: Accounting & Finance
Revenue Integrity Analyst
Direct Hire
The Revenue Integrity Analyst is a technical expert relative to the Hospital’s Charge Description Master (CDM), with particular emphasis on hospital charge capture, compliance, strategic pricing, and revenue protection. Under general supervision, the Revenue Integrity Analyst will develop, maintain and report on the Hospital CDM in order to optimize revenue generation, and maintain compliance with 3rd party payer requirements. This position provides training for departmental personnel relative to charge capture as well as supports clinical areas in the development of pricing for services and supplies in consideration of cost and market.
· Serves as the principal point of contact for charging related issues.
· Responsible for managing, coordinating, and implementing all edits to the chargemaster.
· Works closely with clinical departments to educate in charge capture and pricing.
· Implements annual price increase and coordinates Medicare OPPS updates.
· Makes recommendations relative to compliance concerns related to charging practices.
· Analyzes and resolves specific billing edits/errors that are delaying claims for processing in EPIC.
· Ensures revenue routes to the correct cost center, audits for missing charges and late charges.
· Reports and tracks Epic charge-related issues for resolution.
· Coordinates to Finance team any productivity (RVU) revisions as impacted by CDM changes.
· Creates policies and procedures related to hospital charge practices.
· Perform other duties as assigned.
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The Planet Group of Companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
