Senior Revenue Integrity Analyst

JOB ID: EB-1465241181
Location: California

Are you a Senior Revenue Integrity Specialist? Are you interested in working in a fast paced, multi-entity, academic teaching organization? Then keep reading! Our client is looking for a hands-on, energetic individual for their Senior Revenue Integrity Analyst position. They have defined their Revenue Integrity function to include revenue capture, compliance, price modeling, cost analysis and pricing strategy. The successful candidate will have experience maintaining, analyzing, standardizing and modeling revenue charges; providing reference material and charge compliance education; assisting financial planning and analysis; clearing revenue integrity related work queues in EPIC and identifying trends related to the root cause of edits. Review, analyze, verify accuracy of CDM, fee schedules, and associated master files. Perform, document, and communicate annual/interim price adjustments. Assist the Director of Revenue Integrity with driving charge capture and revenue reconciliation to ensure all charges are being captured. Ensure CDM updates occur on a regular basis, synchronize financial systems with CDM maintenance vendor tool monthly, scripts work smoothly, new users are trained, and regular communication with CDM maintenance vendor support with issues and suggestions to continue to enhance the product. Engaging stakeholders throughout the organization; provide guidance, communication and education on correct charge capture, coding and billing processes to clinical department; will oversee the maintenance of the CDM and the payer audit response department; will serve as a key leader in future work flow design and management under EPIC financials; and will approve and /or develop key language for billing agreements between the hospital and physician entities owned by our client. Strong communication and strategic planning skills are key.

Requirements:

  • Bachelor’s degree in Accounting, Finance from an accredited college or university or equivalent experience required.
  • American Association of Healthcare Administrative Management (AAHAM) Certified Revenue Integrity Professional (CRIP) within one year of hire date.
  • Outpatient Coding Certification.
  • Registered Nurse.
  • 5+ years Hospital/Health Care Coding experience
  • Knowledge of various spreadsheet applications.
  • Knowledge of billing requirements related to charges and associated claim forms.
  • Knowledge of cost accounting concepts, principles, and computer applications.

APPLY NOW If you are a highly motivated, proven manager with the experience, skills and knowledge to make a difference for our client……………………

Please send your resume in Word or PDF format to: [email protected]. Copy and Paste the following job title and EB code and place it in the subject line of your email so we can identify the job: Senior Revenue Integrity Analyst (EB-1465241181)

If you have any questions or would like additional information please call (888) 646-1330

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