Revenue Integrity Analyst

Building Name: UVMMC - In State Remote Worker

This is a fully remote position.

JOB DESCRIPTION:

The Revenue Integrity Analyst is responsible for collaborating with individual departments to ensure charges are captured, entered, documented and reconciled timely and accurately. The Revenue Integrity Analyst will work with departments to develop processes to eliminate billing edits related to the revenue integrity functions. He/she is also responsible for staying current on government regulatory changes and Federal and State proposals to change charging and reimbursement methodologies and payment systems. In conjunction with the Senior Revenue Integrity Analyst, the Revenue Integrity Analyst is responsible for developing, implementing and providing ongoing monitoring and education related to revenue integrity throughout the Revenue Cycle process. Develops processes which are designed to optimize and support revenue integrity, reduce risk and eliminate waste.

EDUCATION:

Bachelor’s degree preferred. An equivalent combination of education and experience from which comparable knowledge and abilities were acquired will be considered. CPT, ICD and/or HCPCS coding certification preferred, or ability to achieve within 12 months of hire.

EXPERIENCE:

Minimum of two years’ experience in revenue cycle operations, specifically patient billing, HIM coding, charge description master (CDM) responsibility or healthcare environment. Minimum of two years’ prior history in health care data manipulation and analysis preferred.  Working knowledge of healthcare charging and reimbursement with direct practical knowledge of Medicare, Medicaid and commercial insurance guidelines highly desired.