Revenue Integrity Analyst
Description
- High School Diploma or GED required
- Bachelor’s Degree preferred
Work Experience
- Minimum three years’ of CBO experience working in various CBO departments
- Five years of progressive experience communicating through various means across all job categories
Required Licenses/Certifications
- Epic Physician Billing Certification, preferred
- CPC or CCSP
- Strong knowledge of Excel, Word, and PowerPoint
- Ability to interact with and work with peers and management
- Ability to make judgements in demanding situations
- Ability to react to frequent changes in duties and volume of work
- Effective communication skills
- Ability to logically organize details
- Epic and/or ECW experience
ESSENTIAL FUNCTIONS
• Leads the development and refinement of charge capture workflows.
• Leads the development, fine tuning, and auditing of charge capture reconciliation.
• Develops and maintains dashboards and reports on charge capture and charge capture reconciliation.
• Monitors, reports, and takes action on trends in claim denials and zero payments.
• Recommends front end staff education and communication for denial prevention.
• Develops and maintains dashboard and reports on denial and zero payment management and prevention.
• Prepares summaries that pinpoint root causes of charge and billing errors.
• Participates in Charge Master (CDM) and Physician fee schedule maintenance efforts
• Additional miscellaneous duties and responsibilities, as may be assigned.