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Une société du Groupe IMA
Revenue Integrity Analyst II
Location
Utah
Posted
10 days ago
Salary
$37 - $58 / hour
Seniority
Senior
Job Description
Revenue Integrity Analyst II
IMH
• Responsible for billing, follow-up, and resolving payment issues for patient accounts. • Analyzes data, develops reports, reviews trends, and recommends enhancements as defined by the revenue practice leadership team. • Performs extensive data mining, mentoring/training, regulatory and payer policy review. • Presents, researches, and follows-up on topics reviewed at departmental and system-wide initiatives. • Monitors for trends in coding, charge capture, and/or editing processes. • Researches and stays current on CMS, federal and state regulations, payor guidelines to ensure compliance. • Audits and evaluates system automation by comparing charge/claim data to clinical records. • Provides education and guidance to revenue cycle teams on report development and charge capture accountability. • Mentors and supports the training of other revenue integrity analysts.
Job Requirements
- Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group.
- Experience in a role requiring attention to detail with excellent organizational and analytical skills.
- Demonstrated proficiency with Epic clinical and/or billing applications.
- Ability to be flexible and adaptable to change.
- Ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes.
- Experience working closely with a multi-disciplinary team to optimize patient experience and operational success.
- Advanced knowledge of regulation, payer policy, charge capture and/or revenue monitoring.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work hours
- Professional development opportunities
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