Job Summary
A company is looking for a Revenue Integrity Operations Analyst.
Key Responsibilities
- Review and correct issues with hospital-based charges triggering 3rd Party Edits or Revenue Guardian Checks
- Maintain and update the master list of edits and revenue guardian checks for hospital-based services
- Support clinical areas in charge capture, coding accuracy, and resolution of regulatory and payer specific edits
Required Qualifications, Training, and Education
- High school diploma or GED required; Associate's or Bachelor's degree in Health Information Technology or related field preferred
- RHIT, RHIA, CCS, CPC certification required within 1 year of hire; current Epic Revenue Cycle Builder certification or ability to obtain within 6 months
- 1-3 years of coding/auditing/collections experience in a hospital or physician practice setting required; 3+ years preferred
- Experience with coding/billing edits resolution is essential
- Ability to wear appropriate Personal Protective Equipment (PPE) as required
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