Certified Revenue Integrity Analyst

Job Summary

Supporting revenue integrity initiatives, the full-time Certified Revenue Integrity Analyst will review pre-bill accounts, enter missing hospital charges, and conduct quality control audits while working remotely from Monday to Friday.

Key responsibilities

• Conduct quality control audits to ensure data integrity and identify accounts qualifying for Revenue Guardian edits
• Serve as a Subject Matter Expert on Revenue Integrity issues for leadership and prepare monthly reports and educational presentations
• Review charges and payments for accuracy from contracted payers and manage the appeals process while identifying revenue gains

Required qualifications

• Bachelor's degree in business administration, accounting, management, healthcare administration, nursing, or a related field
• Three years of experience related to coding; charge capture, reporting, and analysis experience preferred
• Coding certification (e.g., CPC, CCS, RHIA, RHIT) is required
• In-depth knowledge of Medicare/Medicaid regulations, including billing, coding, and documentation requirements
• Revenue Cycle experience with strong analytical skills to evaluate large data sets