Revenue Integrity Analyst

Berkshire Health Systems

Full-time - Mid Level

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 coding guidelines. This role involves educating staff on coding definitions and documentation requirements, assisting operational departments with coding and documentation issues, and analyzing billing denials to improve revenue reimbursement. The analyst will also collaborate with the billing department and senior chargemaster analyst to ensure effective charge capture and minimize late charge rework.

Responsibilities

• Audit and examine charge capture data and revenue monitoring functions.
• Ensure proper charge capture based on government regulations and coding guidelines.
• Educate staff on CPT/HCPC definitions and documentation regulations.
• Assist operational departments with coding, charging, and documentation issues.
• Review billing denials focused on documentation and coding.
• Analyze opportunities to eliminate denials and improve revenue reimbursement.
• Monitor the timeliness of charge capture to minimize late charge rework.
• Collaborate with the senior chargemaster analyst on revenue topics.

Requirements

• Minimum of 3 years working in a revenue cycle/revenue analyst role.
• Knowledge of inpatient and outpatient billing practices, coding guidelines, and CMS Medicare reimbursement methodology.
• Strong quantitative, analytical, and organizational skills.
• Experience with Expanse and/or Meditech software.
• Strong computer skills, particularly with Microsoft Office (Excel, Word, Outlook).
• Exceptional written and verbal communication skills.
• Ability to handle stressful situations calmly and work under deadline pressures.
• Self-motivated and able to work autonomously.