Revenue Integrity Analyst

Job Description:

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia Vermont, Washington.   Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings. ” 
Video phone screens and interview(s) through Microsoft Teams will be required as well for fully remote position. 

• Revenue Integrity Analyst
• The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position will support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s).

• Essential Functions

  • Analyzes data, develops reports, reviews trends and recommend enhancements as defined by the revenue practice leadership team.

  • Participates, researches and follows-up on topics presented at department and system-wide initiatives.

  • Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams' performance. Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits.

  • Provides education and guidance to revenue cycle and clinical operations on report development, charge capture accountability and revenue monitoring.

  • Performs extensive data mining, regulatory and payer policy review, abstracting of financial and clinical information from various sources

  Skills

  • Data Mining

  • Healthcare regulations

  • Health Insurance

  • Medical terminology

  • Communication

  • Detail-orientated

  • Problem solving

  • Data Analysis

  • Excel

  • Collaboration

• Qualifications

  Required

  • Demonstrated experience in a role requiring attention to detail with excellent organizational and analytical skills.

  • Demonstrates flexibility and adaptability to change. 

  Demonstrates 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.

  Preferred

  Bachelor’s degree in finance, healthcare management, data science or related field from an accredited institution. Education is verified.

  • Proficient or certified with Epic clinical or billing applications

  • Demonstrated clinical or healthcare revenue cycle experience.

  Physical Requirements

  Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.

  • Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.

  • Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.

  • For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location:

Work City:

Work State:

Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.