Revenue Integrity Analyst
Position Summary
The Revenue Integrity Analyst is responsible for charge reconciliation and analysis of financial data as it relates to regulatory-compliant charging and billing guidelines. Under general supervision, this position supports the entire revenue cycle by using clinical expertise and analytical skills to resolve charging and billing issues.
Responsibilities
- Maintains confidentiality of all information related to patients, medical staff, employees, and as appropriate, other information
- Responsible to maintain a working knowledge of the culture and different practices/services as a Multi-Facility department and organization
- Uses clinical, audit and analytical skills to independently conduct reviews of medical record documentation compared to patient charges on a concurrent and/or retrospective basis
- Works closely with charge producing departments and IS and takes initiative in investigating and resolving billing and charging issues
- Provides education to clinical departments on charge entry, accuracy, reconciliation, and compliance
- Independently addresses patient, department, and administrative requests for a variety of issues related to revenue and charge integrity
- Performs analysis on suspected issues to determine root cause and provide correction action plan
- Assists in charging audits, internal charging audit, denials, and external charging audits
- Supports Revenue Integrity team members; responds positively to special projects and responsibilities, including performance objectives
- Performs other related duties as assigned
- Relies on experience and judgment to plan and accomplish goals
- Regular and predictable attendance is an essential job function
- Competent to meet the age-specific needs of the unit assigned
Requirements and Minimum Qualifications
- Bachelor’s degree preferred
- Coding certification, Certified Healthcare Financial Professional (CHFP) or Certified Revenue Cycle Representative (CRCR) preferred
- Minimum 3 years’ experience in the healthcare industry (such as business office, finance, revenue auditing, coding, etc.) required
- Extensive familiarity with CPT and HCPCs charge codes
- Knowledge of the dynamics of charge accuracy programs
- Strong computer skills including working knowledge of Excel and Word. Ability to adapt quickly to new systems and tools.
- Strong knowledge of hospital and clinic billing requirements, billing systems, payer contract parameters, proration protocols
- Demonstrated experience with process improvement strategies and the development of effective workflows
Working Conditions
- Must be able to lift and move up to 10 lbs.
- Must be able to communicate and exchange accurate information
- Must be able to maintain a sitting position
- Typical equipment used in an office job
- Remote eligible
About Kootenai Health
Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.
As your next employer, we are excited to offer you:
- Kootenai Health offers comprehensive medical plan options, including options for fully paid employer premiums for our full-time employees. For part-time employees, we offer the same plan options with affordable part-time premiums. In addition to medical insurance, we offer many voluntary benefits ranging from dental and vision to life and pet insurance. Kootenai Health also offers well-being resources and telemedicine service options to all employees, regardless of benefit eligibility. Benefits begin on the 1st of the month following 30 days of employment.
- Kootenai Health’s tuition assistance program is available after 90 days. If you want to further your education, we'll help you pay for it
- Kootenai Health sponsors retirement plans for employees that enable you to save money on a pre-tax and Roth after tax basis for your retirement. Kootenai Health will match your contributions based on years of service ranging from 3-6 percent.
- Competitive salaries with night, weekend, and PRN shift differentials
- An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars, and coaching
- Employees receive discounts at The Wellness Bar, PEAK Fitness, various cell phone carriers, and more
- Employee referral program that pays you for helping great people join the team
- And much more
Kootenai Health provides exceptional support for extraordinary careers. If you want to work on a high-quality, person-centered healthcare team, we can't wait to meet you!
Apply today!
Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.