Senior Revenue Integrity Analyst

Highmark Health - Indianapolis, IN

Full-time - Mid Level

Indianapolis, IN

Insurance Carriers and Related Activities

About the position

The Revenue Cycle Liaison position at Allegheny Health Network is responsible for providing practice and regulatory guidance to enhance the Revenue Cycle Center (RCC) operations. This role involves optimizing procedures, ensuring compliance, and collaborating with various stakeholders to improve clinical documentation and billing processes. The incumbent will analyze revenue cycle performance, conduct audits, and lead initiatives to maintain revenue integrity across clinical departments.

Responsibilities

• Acts as primary revenue cycle liaison for complex clinical departments and practices, monitoring charge reconciliation reports to identify trends and compliance issues.
• Performs complete revenue cycle reviews, including Charge Description Master (CDM) audits, ensuring appropriate capture and reporting of revenue and compliance with regulations.
• Leads and participates in complex projects related to revenue cycle initiatives, developing and maintaining policies, procedures, and training materials.
• Collaborates with various departments on revenue management initiatives, ensuring alignment and compliance across the organization.
• Develops and maintains a Quality Audit program, assisting in performance audits related to identified areas of opportunity.

Requirements

• Bachelor's Degree in Business, Healthcare or related field OR six (6) years of related experience in lieu of degree.
• 5 years of experience in hospital or physician revenue cycle, billing, coding, or billing processes.
• Experience with electronic health records (EPIC).

Nice-to-haves

• 3 years in an Epic-billing environment.
• 3 years of experience with a specific emphasis on regulatory issue and policy development, with advanced knowledge of healthcare regulatory policies.

Benefits

• Health insurance coverage
• Dental insurance coverage
• Vision insurance coverage
• 401k retirement savings plan
• Paid holidays
• Paid time off (PTO)
• Flexible scheduling options