Revenue Integrity Analyst I

RCO Revenue Integrity Analyst

The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and / or charge edits for an assigned service line. This position will support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states : California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington.

Essential Functions

• Analyzes data, develops reports, reviews trends and recommend enhancements as defined by the revenue practice leadership team.
• Participates, researches and follows-up on topics presented at department and system-wide initiatives.
• Monitors for positive or negative trends in coding, charge capture and / or editing processes to improve teams' performance.
• Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits.
• Provides education and guidance to revenue cycle and clinical operations on report development, charge capture accountability and revenue monitoring.
• Performs extensive data mining, regulatory and payer policy review, abstracting of financial and clinical information from various sources.

Skills

Physical Requirements

Qualifications Required

Highly Preferred

Physical Requirements

Location : Lake Park Building

Work City : West Valley City

Work State : Utah

Scheduled Weekly Hours : 40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $30.55 - $48.12

We care about your well-being mind, body, and spirit which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform to improve your job application experience. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment.