Revenue Integrity Analyst II

RCO Revenue Integrity Analyst II

The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits, and / or charge edits for an assigned service line. This position will monitor and support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). This position will support the development and management of integrated charge capture workflows in partnership with senior analysts and leadership, working closely with the clinical and clinical application teams.

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. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.

Essential Functions

• Analyzes data, develops reports, reviews trends and recommends enhancements as defined by the revenue practice leadership team.
• Performs extensive data mining, mentoring / training, regulatory and payer policy review, abstracting of financial and clinical information from various sources.
• Presents, researches, and follows-up on topics reviewed at department and system-wide initiative levels.
• 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.
• Audits and evaluates system automation by comparing the charge / claim data to the clinical record. Leverages other system functionalities to expedite the claim processing for compliant and optimized hospital accounts.
• Evaluates, provides education and guidance to revenue cycle, revenue practice teams and clinical operations on report development, charge capture accountability and revenue monitoring.
• Mentors and supports the training of other revenue integrity analysts.

Skills

Physical Requirements

Qualifications

Physical Requirements

Location : Peaks Regional Office

Work City : Broomfield

Work State : Colorado

Scheduled Weekly Hours : 40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $37.31 - $58.75

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.