R1 RCM - Salt Lake City, UT
posted 3 months ago
As a Revenue Integrity Analyst at R1 RCM Inc., you will play a crucial role in ensuring accurate and optimal revenue capture for services provided by the hospital. Your primary responsibility will be managing and maintaining the hospital's Charge Description Master (CDM), ensuring that all services and procedures are accurately listed to reflect the hospital's current offerings. This position requires a keen eye for detail and a strong understanding of coding and revenue cycle management. You will be tasked with developing and implementing pricing strategies for various services and procedures, taking into account costs, market rates, and reimbursement policies. Additionally, you will ensure that hospital policies and procedures related to billing and coding are adhered to by all relevant departments. In your role, you will analyze billing trends to identify opportunities for revenue improvement and potential compliance risks. You will review and analyze patient records, billing data, and financial statements to ensure accurate charge capture, identifying and rectifying any discrepancies or errors in the charge capture processes. Furthermore, you will verify that medical codes (ICD-10, CPT, HCPCS) assigned to procedures and diagnoses are accurate and compliant with coding guidelines. Your responsibilities will also include analyzing payer contracts and reimbursement rates to ensure that services are billed and reimbursed appropriately. To thrive in this role, you must possess a coding certification and have experience working in revenue cycle management. The position offers a dynamic work environment where you will have the opportunity to collaborate with various departments and contribute to the overall success of the healthcare organization. R1 RCM Inc. is committed to providing a workplace that fosters growth, learning, and meaningful contributions to the communities we serve.