Revenue Integrity Analyst

$76,045 - $117,874/Yr

University Medical Center Of Southern Nevada - Las Vegas, NV

Full-time - Mid Level

Las Vegas, NV

Hospitals

About the position

The Revenue Integrity Analyst at University Medical Center of Southern Nevada plays a crucial role in maintaining the Chargemaster fee schedule, ensuring compliance with coding practices and regulatory requirements. This position involves conducting audits, reviewing workflows for missed revenue opportunities, and serving as a liaison between various departments to enhance billing accuracy and revenue capture.

Responsibilities

• Maintain the Chargemaster fee schedule in accordance with established coding practices and governmental regulatory requirements.
• Conduct quality control audits and review charge capture clinical workflows for missed revenue opportunities.
• Create action plans for capturing missed revenue.
• Identify edits in patient management/billing software that impact billing accuracy.
• Ensure CPT, HCPCS, and revenue codes are accurate and compliant with all charging and billing guidelines.
• Serve as a liaison between Revenue Cycle and clinical operations and information technology regarding revenue, compliance, and clinical workflow build.

Requirements

• Graduation from an accredited school of nursing or equivalent to a Bachelor's Degree in healthcare, finance, or a closely related field.
• Three (3) years of experience in reviewing hospital charge capture, medical records, clinical charts, regulatory and policy compliance, and/or claims auditing.
• Valid state license as a Registered Nurse or certification in Certified Professional Coder (CPC), Certified Coding Specialist - Physician based (CCS-P), or Certification in Healthcare Revenue Integrity (CHRI).

Nice-to-haves

• Experience using Epic
• Experience in Revenue Cycle Management
• Experience in Revenue Integrity
• Experience maintaining CDM
• Knowledge of CPT, HCPCS, and Revenue Codes

Benefits

• Employer-paid pension plan (Nevada PERS)
• Competitive salary and benefits package
• Dental insurance