Revenue Integrity Analyst 1

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).

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

Qualifications Required

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