Revenue Integrity Analyst Manager
New
J
JobgetherHealthcare Finance
Based in the United StatesFull-TimeManager
Salary not disclosed
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Job Details
- Experience
- 10+ years of hospital- or clinic-based revenue cycle experience
- Required Skills
- Data AnalysisProcess improvement
Requirements
- Bachelor’s degree in business, accounting, finance, healthcare administration, or a related field.
- 10+ years of hospital- or clinic-based revenue cycle experience with a focus on revenue integrity.
- 5+ years of hospital-based billing, coding, and charge capture experience.
- Deep knowledge of charge master components, CPT codes, HCPCS, revenue codes, and cost centers.
- 5+ years of experience working with Epic Professional Billing (PB) and Hospital Billing (HB).
- Experience with charge capture across pharmacy, radiology, surgery/anesthesia, and inpatient/outpatient settings.
- Proven experience leading and developing teams and managing competing priorities.
- Strong understanding of healthcare reimbursement requirements, compliance standards, and payer guidelines.
- Advanced skills in system optimization and technology-enabled solutions.
- Master’s degree preferred.
- Professional certifications such as HFMA, AAPC, CPC, or CRCT are desirable.
- Epic HB/PB certification is preferred.
Responsibilities
- Lead and coordinate revenue integrity and charge capture activities, ensuring accurate and timely capture of chargeable services.
- Manage the performance, productivity, and development of the Revenue Analyst team through coaching and feedback.
- Analyze revenue cycle data, charge master configuration, and coding processes to identify improvement opportunities.
- Conduct charge capture assessments, audits, and root-cause analyses, providing actionable recommendations.
- Monitor compliance with state, federal, and payer billing requirements.
- Maintain charge master processes, ensuring accurate CPT, HCPCS, and revenue code configurations.
- Partner with Patient Financial Services, Finance, and Compliance to drive revenue management initiatives.
- Support and enhance revenue cycle applications including Epic Resolute HB/PB and Craneware.
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