Job Description
Job Description
We are seeking a Revenue Integrity Analyst to join our client in the healthcare space. This position is fully onsite in Milwaukee and is a contract-to-hire opportunity , offering the chance to transition into a permanent role.
Key Responsibilities
- Perform daily activities of the revenue integrity program, ensuring accurate charge capture and adherence to compliance standards.
- Conduct revenue integrity reviews, present findings, and recommend corrective actions.
- Act as a liaison with CDM Management teams to support the maintenance and accuracy of the Charge Description Master (CDM).
- Support and maintain reporting for all charge capture activities, including CDM maintenance and workflow communications to clinical departments.
- Monitor national, state, and local regulatory and legislative changes, tailoring the revenue integrity program accordingly.
- Serve as a resource for organizational and operational matters related to revenue integrity issues.
- Maintain reporting and tracking of revenue integrity initiatives, including status and reimbursement outcomes.
- Research topics for revenue integrity education and training programs to support organizational learning.
Requirements
High School diploma or equivalency with 2 years of cumulative experience OR Associate’s / Bachelor’s degree OR 4 years of relevant job-specific experience.Preferred experience in billing, A / R follow-up, and denials management.Deep healthcare experience is necessary.Strong skills in at least one of the following areas : Supply Chain, Clinical, Coding, or General Ledger.Knowledge of strategic pricing and reimbursement is extremely helpful.Ability to work collaboratively in a developing role and adapt to evolving responsibilities.Soft Skills / Personality
Easygoing, collaborative, and flexible.Comfortable working in a role that requires initiative and problem-solving.Strong communicator and resourceful team member, willing to support cross-functional projects.