Revenue Integrity Analyst

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Job Summary

The Revenue Integrity Analyst is responsible for managing post payment audits including RAC, third party denials, chargemaster creation and maintenance, and hold bills assigned as they relate to revenue integrity

Reports to :

Job Specific Responsibilities

Daily assignments may include but are not limited to :

• Enter charge; Maintain charge related dictionaries within GE Centricity and other systems; Monitor charge usage and coordinate with requesting departments to ensure compliance
• Work hold bills, push report, and error work lists daily and coordinate any issues with relevant department(s)
• Coordinate and assist with external audit and records request(s)
• Initiate and complete internal charge audits; Coordinate and participate in all year end charge reviews with clinical departments
• Ensure all required CPT and charge code changes are complete in GE Centricity and all clinical systems
• Monitor and facilitate denials and appeals processes; Assist with identifying trends and solutions, providing education as necessary to prevent further denials
• All other related assigned duties

Education and Experience

Required Licensures / Certifications / Registrations

N / A

Skills and Abilities

Interaction with Other Departments and Other Relationships

This position will consistently interact with revenue generating departments throughout UMC

Physical Capabilities

Work is of medium demand; walking, sitting and standing most of the time while on-duty. Occasional lifting is required. Adequate hand / eye coordination and fine motor skills required for typing. Talking and hearing is essential in dealing with co-workers and customers.

Environmental / Working Conditions

Work in a well-lighted, heated and ventilated building. Hours may vary to accommodate the needs of the department.

UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.