Senior Revenue Integrity Analyst

OREGON EMPLOYMENT DEPARTMENT - Salem, OR

Part-time

Salem, OR

About the position

The Senior Revenue Integrity Analyst position at Allegheny Health Network focuses on providing regulatory guidance and enhancing the Revenue Cycle Center (RCC) operations. The role involves optimizing procedures, ensuring compliance, and collaborating with various stakeholders to improve documentation and billing processes. The analyst will conduct revenue cycle reviews, lead projects, and develop training materials to support the organization's revenue management initiatives.

Responsibilities

• Act as primary revenue cycle liaison for complex clinical departments and practices, monitoring charge reconciliation reports to identify trends and compliance issues.
• Perform complete revenue cycle reviews, including Charge Description Master (CDM) audits, ensuring appropriate capture and reporting of revenue and compliance with regulations.
• Lead and participate in complex projects related to revenue cycle initiatives, overseeing the involvement of Revenue Integrity analysts.
• Collaborate with Compliance, Budget Office, Patient Accounts, Health Information Services, Internal Audit, and other departments on revenue management initiatives.
• Develop and maintain a Quality Audit program and assist in performance audits related to team members' areas of opportunity.

Requirements

• Bachelor's Degree in Business, Healthcare or related field, or six years of related experience in lieu of a 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.