Revenue Integrity Operations Analyst

Job Summary

A company is looking for a Revenue Integrity Operations Analyst.

Key Responsibilities

• Review and correct issues with hospital-based charges triggering 3rd Party Edits or Revenue Guardian Checks
• Maintain and update the master list of edits and revenue guardian checks for hospital-based services
• Support clinical areas in charge capture, coding accuracy, and resolution of regulatory and payer specific edits

Required Qualifications, Training, and Education

• High school diploma or GED required; Associate's or Bachelor's degree in Health Information Technology or related field preferred
• RHIT, RHIA, CCS, CPC certification required within 1 year of hire; current Epic Revenue Cycle Builder certification or ability to obtain within 6 months
• 1-3 years of coding/auditing/collections experience in a hospital or physician practice setting required; 3+ years preferred
• Experience with coding/billing edits resolution is essential
• Ability to wear appropriate Personal Protective Equipment (PPE) as required