Revenue Integrity Analyst

$76,045 - $117,874/Yr

University Medical Center Of Southern Nevada - Las Vegas, NV

posted 14 days ago

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
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