Revenue Integrity Analyst

Job description

Job Summary Coordinates the maintenance of assigned departmental revenue cycle business systems, chargemasters, or other business processes, ensuring accuracy and consistency with departmental requirements and regulatory agency standards. Accountable for tasks impacting organizational cash flow, compliance, patient satisfaction and confidentiality. Monitors and trends data for assigned revenue cycle departments and tasks. Essential Functions: - Reviews and makes recommendations regarding hospital or professional charges / fee structure, revenue cycle business systems, or related processes. Researches patient access, coding and billing requirements when new procedures or regulatory changes are introduced. - Coordinates required updating of CPT / HCPCS codes, bill edits, third party payer changes or other revenue cycle regulatory requirements. - Assists in the resolution of revenue cycle issues, such as patient access, billing or denials, and develops systems to proactively address trends. - Facilitates the development of strategies for the evaluation and implementation of assigned tasks, such as recommended changes to business systems, reimbursement methodologies, or revenue cycle e...