Kentucky Licensed Pharmacy Analyst

Job Summary

To support revenue integrity initiatives, the full-time Senior Revenue Integrity Pharmacy Analyst will conduct expert reviews of pharmacy charge audits and claims, ensuring compliance with billing regulations and maximizing reimbursement in a fully remote capacity.

Key responsibilities

• Review and analyze pharmacy-related charge audits, denials, and HCPCS updates
• Collaborate with pharmacy IS, Billing, and Managed Care to ensure compliance with billing regulations
• Provide support and education to Pharmacy and Revenue Cycle teams on coding and documentation requirements

Required qualifications

• Three years of experience in healthcare revenue cycle, clinic operations, or as a pharmacy technician
• Within one year of hire, obtain one of the following: CCA, CCS, CIC-ICD, COC, CPC, RHIA, or RHIT