Revenue Integrity Analyst III

$91,790 - $119,309/Yr

University Healthcare Alliance - Newark, CA

Full-time - Mid Level

Newark, CA

1,001-5,000 employees

Ambulatory Health Care Services

About the position

The Revenue Integrity Analyst III plays a crucial role in ensuring the accuracy and efficiency of billing processes within the healthcare system. This position involves conducting in-depth analyses of scheduling and billing workflows, particularly during the transition to the Epic Resolute module. The analyst will review coding and documentation, provide real-time education to providers, and perform charge reconciliation. Additionally, the role requires collaboration with various teams to enhance revenue cycle operations and ensure compliance with coding standards.

Responsibilities

• Conduct deep dives into the new clinic legacy system around scheduling and billing workflow.
• Support the transition and integration of billing into the Epic Resolute module.
• Perform extensive reviews of CPT and ICD10 codes to create future workflows and educational opportunities.
• Provide real-time education and training to providers during the transition.
• Perform charge reconciliation and posting into the Epic Resolute system.
• Own the transition work queues for clinics moving to the Epic EMR.
• Research and provide input to the Epic preference list build.
• Confirm that the build in place is dropping charges as expected from the Epic Care build.
• Review documentation and identify educational or training opportunities.
• Collaborate with the SHC Digital Solutions team.
• Create trackers for communication within the revenue cycle and clinic operations.
• Develop training materials and presentations for providers and staff.
• Keep abreast of current changes in coding and reimbursement requirements.

Requirements

• High School Diploma or GED required.
• 5+ years of recent coding experience or applicable physician practice setting.
• Advanced skills in Excel, PowerPoint, and Visio products.
• Strong verbal/written communication and listening skills.
• Ability to maintain composure during challenging interpersonal interactions.
• Proficiency in Microsoft Office Suite and electronic calendars.
• Demonstrated knowledge of medical coding (CPT4, HCPCs, ICD-9) with EMR experience.
• Knowledge of Medicare, MediCal, commercial and managed care insurance preferred.

Nice-to-haves

• Experience with Epic EMR systems.
• Familiarity with government programs and third-party payers.

Benefits

• Competitive hourly wage ranging from $44.13 to $57.36.
• Full-time employment with potential for career advancement.
• Opportunities for professional development and training.