Revenue Integrity Analyst

A company is looking for a Revenue Integrity Analyst responsible for researching and resolving complex carrier / payor claim edits and ensuring compliance with payor specifications.

Key Responsibilities

Research and resolve complex carrier / payor claim edits and denials

Review and analyze charges and coding for compliance prior to claim submission

Collaborate with departments on charging and coding issues

Required Qualifications

Bachelor's degree in an appropriate discipline or completion of an accredited Record Technician program

Three years of acute healthcare experience with an emphasis on coding, billing, and auditing (if holding a Bachelor's degree)

Seven years of acute healthcare experience with an emphasis on coding, billing, and auditing (if holding an Associate's degree)

Eleven years of acute healthcare experience with an emphasis on coding, billing, and auditing (if holding a High School diploma or GED)

No licensure or certification required