Revenue Integrity Analyst

Revenue Cycle Improvement Coordinator

Under the guidance of the VP, Revenue Cycle Management, the coordinator independently audits and evaluates the Health System revenue cycle related workflows, identifies problem areas, provides solutions, and assists in the implementation of workflow improvements to assure an effective revenue cycle process. Maintains hospital charge master including participation in the Hospital Pricing Committee, provides recommendations for changes and coordinates the implementation of new / revised charges.

Responsibilities :

• Revenue Management. Ensure competitive pricing, appropriate reimbursement and compliance with governmental billing regulations; manage the department chargemasters by developing, updating, scheduling, coordinating and monitoring departmental CDM reviews and updates; coordinate and monitor all new charge requests (procedures, supplies and pharmacy); identify and report revenue cycle opportunities
• Auditing & Review. Complete the CDM review by obtaining appropriate approval, coordinating the effective date, completing finalized system changes and rebilling / crediting of services; perform ongoing audits, analyze audit results and create recommendations for optimizing the revenue cycle functions
• Leadership. Lead or participate in project teams designed to improve revenue cycle; support financial and administrative oversight of managed care contracts with commercial payers; support contracting activities including preparation for negotiation, implementation and analysis of reimbursement performance

Required Qualifications :

Preferred Qualifications :

Education :

Licenses / Certifications :

Physical Requirements :

S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and / or employee's physician or delegate will be considered for accommodations.

Pay Range :

$60,500.00 - $70,000.00

City : Rochester

Postal Code : 14617

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.