Revenue Integrity Analyst

$89,419 - $89,419/Yr

Berkshire Health Systems - Pittsfield, MA

Full-time - Mid Level

Pittsfield, MA

Hospitals

About the position

The Revenue Integrity Analyst is responsible for auditing charge capture data and monitoring revenue functions to ensure compliance with government regulations and billing guidelines. This role involves educating staff on coding definitions and assisting operational departments in correcting documentation issues, while also analyzing billing denials to improve revenue reimbursement.

Responsibilities

• Audit and examine charge capture data and revenue monitoring functions.
• Ensure proper charge capture based on government regulations and coding guidelines.
• Educate clinical and operational staff on CPT/HCPC definitions and documentation regulations.
• Assist in correcting coding, charging, and documentation issues.
• Work closely with the billing department to review denials and analyze opportunities for improvement.
• Monitor the timeliness of charge capture to minimize late charge rework.

Requirements

• Minimum of 3 years working in a revenue cycle/revenue analyst role.
• Knowledge of inpatient and outpatient billing practices and coding guidelines.
• Familiarity with CMS Medicare reimbursement methodology.
• Strong quantitative, analytical, and organizational skills.
• Experience with Expanse and/or Meditech software.
• Proficiency in Microsoft Office, including Excel, Word, and Outlook.
• Exceptional written and verbal communication skills.

Nice-to-haves

• Experience in a team-oriented, collaborative environment.
• Ability to handle stressful situations calmly and rationally.

Benefits

• Competitive hourly wage of $42.99.
• Full-time employment with a structured schedule.