Talent.com
Revenue Integrity Analyst
Revenue Integrity AnalystIllinois Staffing • Chicago, IL, US
Revenue Integrity Analyst

Revenue Integrity Analyst

Illinois Staffing • Chicago, IL, US
2 days ago
Job type
  • Full-time
Job description

Revenue Integrity Analyst

Location : Chicago, Illinois

Business Unit : Rush Medical Center Hospital : Rush University Medical Center Department : Revenue Cycle Revenue Integrity

Work Type : Full Time (Total FTE between 0.9 and 1.0)

Shift : Shift 1

Work Schedule : 8 Hr. (8 : 00 : 00 AM - 4 : 30 : 00 PM)

Rush offers exceptional rewards and benefits. Learn more at our Rush benefits page.

Pay Range : $27.47 - $43.27 per hour

Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary :

The Revenue Integrity Analyst uses advanced knowledge of coding, CDM, charge capture, and auditing to solve complex charging scenarios, provide education and assistance to operational departments, support fellow team members, and develop processes / procedures to ensure accurate and timely capture of all chargeable procedures. The Revenue Integrity Analyst also provides high-level professional support in working advanced outpatient coding edits as well as auditing charges for service lines with potential missed revenue opportunities. The individual who holds this position exemplifies the Rush mission, vision, and values and acts in accordance with Rush policies and procedures.

Other information :

Required Job Qualifications :

  • Associates degree or higher
  • Minimum 2-4 years of healthcare experience working with billing, charge entry, charge capture, or CDM
  • AAPC Certification or AHIMA Certification, or Epic Software Certification
  • Proficient and functional knowledge of reviewing charges in the Epic EHR
  • Advanced knowledge of medical terminology as well as medical billing language. Must demonstrate a thorough knowledge of UB-04 Revenue Codes, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Level II along with modifiers
  • Excellent written and oral communication skills along with problem-solving
  • Proficiency with MS Office Suite
  • High degree of accuracy and ability to collaborate with others

Disclaimer : The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.

Responsibilities :

  • Use logic-based critical thinking and decision making to accurately enter charges on patient accounts for hospital / facility and professional charges in accordance with CMS and AMA guidelines
  • Responsible for accounts within the assigned Epic Account, Charge Review, and Claim Edit Work queues while solving edits related to National Correct Coding Initiatives (NCCI edits), Medically Unlikely Edits (MUE edits) Procedure to Procedure (PTP edits), and Outpatient Coding Edits (OCE edits) in Epic using patient documentation, coding rules, billing guidelines, and proper modifier use in a timely manner
  • Assess the Charge Description Master (CDM) and contribute to accurate CDM line items by evaluating revenue codes, descriptions, CPT / HCPCS code and pricing
  • Audit and reconcile charges against clinical documentation, code rules and charging methodologies for internal purposes along with external audits
  • Works with external vendors to review charge capture opportunities and documentation to identify missed charges and correct accounts
  • Identify trends, analyze to propose and create meaningful solutions, improve processes, create training content, and participate in the education of departments regarding their CDM and missed charges
  • Serves as subject matter expert for fellow team members to review questions and assist with resolving accounts
  • Meets or exceeds accuracy, quality work, on-time delivery, and productivity standards set by CMS, OIG, and direct manager
  • Researches all current and future complex payor requirements for compliant billing, timely payment, and maximum reimbursement
  • Provides input and implements process improvement initiatives recognizing revenue enhancement and charge integrity opportunities
  • Communicates, observes, and reports on charge entry trends and patterns and provides recommendations for improvement
  • Engages in continual education and training in the revenue integrity field and healthcare CDM, charges, auditing, data, and other duties or projects as assigned
  • Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

    Create a job alert for this search

    Revenue Integrity Analyst • Chicago, IL, US

    Related jobs
    Credit Bureau Reporting Analyst

    Credit Bureau Reporting Analyst

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for a Credit Bureau Reporting Analyst.Key Responsibilities Execute credit bureau reporting and dispute handling processes Collaborate with internal departments to resolve cu...Show more
    Last updated: 1 day ago • Promoted
    Mortgage Quality Analyst

    Mortgage Quality Analyst

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for a Mortgage Quality / Process Improvement Analyst.Key Responsibilities Conducts performance analysis to enhance risk mitigation processes Measures and monitors processes, p...Show more
    Last updated: 30+ days ago • Promoted
    Analyst, Real Estate (Healthcare) - Valuation Advisory

    Analyst, Real Estate (Healthcare) - Valuation Advisory

    Stout • Chicago, IL, United States
    Full-time
    At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence.Both our client service and culture are second to none, stemming from our firmwide embrace of our...Show more
    Last updated: 30+ days ago • Promoted
    Credit Analyst II

    Credit Analyst II

    Busey Bank • Naperville, IL, United States
    Full-time
    The Credit Analyst II provides accurate, timely, and succinct credit analysis to support the company's portfolio management and new business development efforts. This position is open to all locatio...Show more
    Last updated: 30+ days ago • Promoted
    Director of Payment Integrity

    Director of Payment Integrity

    VirtualVocations • Lincolnwood, Illinois, United States
    Full-time
    A company is looking for a Director of Payment Integrity.Key Responsibilities Develop and implement payment integrity strategies and capability roadmaps to enhance operational efficiency and cost...Show more
    Last updated: 30+ days ago • Promoted
    Senior Revenue Systems Analyst

    Senior Revenue Systems Analyst

    VirtualVocations • Lincolnwood, Illinois, United States
    Temporary
    A company is looking for a Senior Revenue Systems Analyst for an interim consulting project.Key Responsibilities Manage month-end close processes for revenue systems Perform data validation and ...Show more
    Last updated: 30+ days ago • Promoted
    Revenue Business Solutions Analyst

    Revenue Business Solutions Analyst

    VirtualVocations • Lincolnwood, Illinois, United States
    Full-time
    A company is looking for a Revenue Business Solutions Analyst.Key Responsibilities Define business scope and objectives through research and analysis Conduct functional analysis, requirements de...Show more
    Last updated: 3 days ago • Promoted
    Client Manager, Payment Integrity

    Client Manager, Payment Integrity

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for a Client Manager, Payment Integrity to manage client relationships and ensure operational alignment in healthcare delivery. Key Responsibilities Manage relationships with ...Show more
    Last updated: 2 days ago • Promoted
    Senior Revenue Operations Analyst

    Senior Revenue Operations Analyst

    VirtualVocations • Lincolnwood, Illinois, United States
    Full-time
    A company is looking for a Senior Revenue Strategy & Planning Operations Analyst.Key Responsibilities Execute and support annual planning processes, including territory design and management Con...Show more
    Last updated: 30+ days ago • Promoted
    CRE Credit Analyst II / III

    CRE Credit Analyst II / III

    Busey Bank • Joliet, IL, United States
    Full-time
    The CRE (Commercial Real Estate) Credit Analyst provides accurate, timely, and succinct credit analysis to support the company's portfolio management and new business development efforts.Financial ...Show more
    Last updated: 30+ days ago • Promoted
    Remote Data Integrity Contractor

    Remote Data Integrity Contractor

    VirtualVocations • Naperville, Illinois, United States
    Remote
    Full-time
    A company is looking for a Trail Data Contractor.Key Responsibilities Assist with trail data integrity initiatives to ensure accuracy of trail data in the North Eastern Region of the US Self-pil...Show more
    Last updated: 3 days ago • Promoted
    Merchant Risk Analyst

    Merchant Risk Analyst

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for a Merchant Risk Analyst to assess financial and non-financial risks associated with merchants.Key Responsibilities Assess risks and determine credit exposure for new and ...Show more
    Last updated: 15 days ago • Promoted
    Revenue Assurance Analyst

    Revenue Assurance Analyst

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for an Analyst, Revenue Assurance.Key Responsibilities Performing detailed customer audits to identify revenue recovery and cost savings opportunities Isolating and research...Show more
    Last updated: 30+ days ago • Promoted
    Healthcare Revenue Cycle Analyst

    Healthcare Revenue Cycle Analyst

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for a Healthcare Revenue Cycle Data Analyst.Key Responsibilities Analyze revenue cycle performance and develop strategies to improve cash flow and reduce outstanding accounts...Show more
    Last updated: 1 day ago • Promoted
    Credit Analyst III

    Credit Analyst III

    Busey Bank • Oakbrook Terrace, IL, United States
    Full-time
    The Credit Analyst provides accurate, timely, and succinct credit analysis to support the company's portfolio management and new business development efforts. Financial statement spreading and analy...Show more
    Last updated: 4 days ago • Promoted
    Recoveries and Payments Analyst

    Recoveries and Payments Analyst

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for a Recoveries & Payments Analyst to improve processes related to vendor payments and recoveries within their financial operations team. Key Responsibilities Support vendor ...Show more
    Last updated: 2 days ago • Promoted
    Revenue Operations Analyst

    Revenue Operations Analyst

    VirtualVocations • Naperville, Illinois, United States
    Full-time
    A company is looking for a Revenue Operations Analyst to manage systems, data, and processes for their go-to-market strategy. Key Responsibilities Mature the HubSpot instance by building custom ob...Show more
    Last updated: 30+ days ago • Promoted
    Analyst Contract Compliance

    Analyst Contract Compliance

    Medline Industries - Transportation & Operations • Northfield, IL, US
    Full-time
    Job Summary Responsible for ensuring government contract compliance with detailed financial analysis, audit support, and other projects. Interact with Division management team with corporate governa...Show more
    Last updated: 7 days ago • Promoted