REVENUE INTEGRITY ANALYST

Coulee Medical Center - Grand Coulee, WA

Full-time - Entry Level

Grand Coulee, WA

11-50 employees

Hospitals

About the position

The Revenue Integrity Analyst at Coulee Medical Center plays a crucial role in ensuring the revenue integrity of claims for both hospital and physician services. This position is essential for the daily analysis of accounts, focusing on accurate charge capture processes, compliant and timely processing of claims, and initiatives aimed at reducing denials. By enhancing revenue cycle efficiency, the Revenue Integrity Analyst contributes significantly to achieving appropriate reimbursement for the services provided to patients and the community. The role requires a keen understanding of the revenue cycle and the ability to analyze various aspects of billing and coding to ensure compliance with regulations and maximize revenue. In this position, the analyst will engage in daily tasks that include reviewing claims, identifying discrepancies, and implementing corrective actions to improve the overall revenue cycle. The Revenue Integrity Analyst will also collaborate with various departments to ensure that all services rendered are accurately captured and billed. This role is vital in maintaining the financial health of Coulee Medical Center, which serves a diverse population across multiple counties. The analyst will be expected to stay updated on the latest regulations and best practices in revenue cycle management, particularly in relation to Rural Health Clinics (RHC) and Critical Access Hospitals (CAH).

Responsibilities

• Analyze accounts daily to ensure accurate charge capture processes.
• Ensure compliant and timely processing of claims.
• Implement denial reduction initiatives to enhance revenue cycle efficiency.
• Collaborate with various departments to ensure accurate billing and coding practices.
• Stay updated on Medicare/Medicaid rules and regulations, and other third-party billing requirements.
• Review claims for discrepancies and implement corrective actions as necessary.

Requirements

• Bachelor's degree in a related field or equivalent combination of formal education and experience preferred.
• Recent experience with RHC and CAH coding, patient account billing, revenue cycle analysis, and charge capture desired.
• Knowledge and experience with RHC, CAH, Medicare split and Method II billing.
• Excellent knowledge of Medicare/Medicaid rules and regulations, and other third-party billing.
• Proficient in Cerner Community Works and Excel.
• Current ICD-10 and CPT coding certification or willingness to obtain within 1 year of hire.
• Revenue Cycle Management certifications desired.

Benefits

• Medical, Dental, and Vision insurance
• 403(b) retirement plan with a maximum match of 5%
• Employer paid life insurance
• Employer paid Long-Term Disability
• Health Flex Spending Account (HFSA)
• Day Care Flex Spending Account (DFSA)
• Employee Assistance Program (EAP)
• Earned Leave accrual
• Paid Sick Leave accrual