Posted 2w ago

Revenue Integrity Analyst

@ SEARHC
Haines or United States
RemoteFull Time
Responsibilities:Optimize applications, Collaborate designs, Analyze data
Requirements Summary:Experience with revenue cycle, revenue integrity, charge capture, CPT/HCPCS/ICD analysis, and reporting; able to optimize revenue cycle applications, automate processes, and ensure compliance.
Technical Tools Mentioned:Revenue cycle software, Charge Description Master (CDM), Claims processing, Denials analytics, Coding and CDI
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Job Description

Pay Range:

Pay Range:$31.83 - $44.56 Responsible for improving the charge capture, reimbursement, and quality of the revenue cycle through the support and management of revenue cycle applications; process automation, Charge Description Master, Claims, analysis, reporting, clinical and departmental integration, and performance of compliance, contract payment, and denials auditing.

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more.

Key Essential Functions and Accountabilities of the Job

  • Optimization and troubleshooting of revenue cycle applications

  • Collaboration with clinical, operational, supporting departments, applicable stakeholders, for development of integrated design solutions

  • Analysis of available data to support Revenue Cycle team initiatives in identification, definition, resolution planning, and implementation for system & user deviations, inconsistencies, and process failures

  • Serves as an internal resource on a combination of the topics of registration, authorizations, coding, CDI, CDM management, claims, edits, billing compliance, denials, remittance processing, and/or reporting & analytics

  • Workflow analysis

  • Payer contract analysis and ensuring payments consistent with negotiated contracts

  • Identification of root causes of issues driving controllable denials, partnering with finance leadership to address implicated operational issues, workflow issues, and training gaps

  • Performs quality assurance and validation tasks

  • Provides education and guidance to patient revenue generating departments/providers to ensure appropriate charge capture

Required Certifications:

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!