[Hiring] Revenue Integrity Analyst @Saint Luke's Health System

Role Description

This is a tele-commuting position. The Revenue Integrity Analyst is responsible for improving charge capture accuracy through:

• Workflow assessments
• Coding reviews
• Process improvement collaboration
• Reporting

The Revenue Integrity Analyst works collaboratively with leadership to assist in:

• Development
• Project management
• Implementation of process enhancements or corporate initiatives to enhance charge capture accuracy

Additionally, this role monitors and analyzes coding performance at the section and business unit levels. The Analyst serves as the liaison between:

• Revenue cycle operations
• IT
• Finance

Key responsibilities include:

• Overseeing, understanding, and communicating departmental charging processes
• Analyzing and communicating denial trends to providers and operational leaders

This position requires advanced knowledge in coding, auditing, and documentation guidelines. CPC or CCS and CPMA or CEMA is required. This position is a part of the Revenue Integrity Department and provides support to departments within the Revenue Cycle. The primary role is to support education, documentation principles, clean claims, and denial prevention.

This position is exempt and requires availability M-F during business hours. It offers career ladder advancement opportunities.

Qualifications

• 3 years’ experience as a coder
• 2 years of experience in auditing/chart reviews
• Bachelor's Degree

Requirements

• Analyze and conduct regularly scheduled chart audits and education for Physicians, APPs, and other billable providers
• Analyze and conduct audits for focused requests such as internal reviews, program & payment integrity reviews, payor programs
• Responsible for research and communication on regulatory requirements and payor policies that impact charging and reimbursement
• Identify education and improvement opportunities for accuracy, outliers, and missed revenue
• Train departments on charge reconciliation and monitor compliance
• Monitor open encounters to ensure charts are closing within policy guidelines
• Educate on annual coding updates and drive necessary EPIC revisions
• Analyze and ensure codes dropping are correct for all services rendered
• Support operational leaders on charge capture, documentation, and reimbursement initiatives
• Collaborate with other departments and vendors for coding alignment

Benefits

• Career Advancement Program to expand skills and grow your career
• Competitive salaries and benefits packages
• Supportive environment for achieving goals