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Revenue Integrity Operations Analyst

5/24/2025

No location specified

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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