Revenue Integrity Analyst

This is a tele-commuting position with a requirement to live in the Kansas City metro area due to some travel to area clinics as needed.

About Saintlukes

Why Saint Luke’s?

• We are dedicated to innovation and always looking for ways to improve.
• We believe in creating a collaborative environment where all voices are heard.
• We are here for you and will support you in achieving your goals.

Responsibilities

• The Revenue Integrity Analyst is responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting.
• The Revenue Integrity Analyst works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy.
• In addition this role monitors and analyzes coding performance at the section and business unit levels.
• The Revenue Integrity Analyst serves as the liaison between revenue cycle operations IT and finance as it relates to charge capture documentation and reconciliation and possesses a clear understanding of the physician revenue cycle.
• The Analyst oversees understands and communicates departmental charging processes including the CDM charge linkages to the CDM and charging processes.
• The Analyst analyzes and communicates denial trends to providers and operational leaders.
• This position requires advanced knowledge in coding, auditing, and documentation guidelines.
• CPC or CCS and CPMA or CEMA is required.
• This position is a part of the Revenue Integrity Department and provides support to departments within the Revenue Cycle.
• The primary role of this position is to support education, documentation principals, clean claims, and denial prevention.
• This is a telecommuting position, offers career ladder advancement opportunities, and includes a bonus program.
• 3 years’ experience as a coder and 2 years of experience in auditing/chart revie ws.
• Support Physicians, APPs and other billable providers by providing education on documentation and coding to the highest level of service being rendered.
• Serves throughout the revenue cycle, operations, and IT as it relates to charge capture, charge accuracy, documentation, denial prevention, and charge reconciliation while maximizing revenue and compliance.
• 1.
• Analyze and conduct regularly scheduled chart audits and education for Physicians, APPs and other billable providers by evaluating education needs from audit results as outlined in our policies.
• 2.
• Analyze and conduct audits for focused requests such as internal reviews, program & payment integrity reviews, payor programs.
• Participate in facilitation of the process from time it is received to completion of request.
• 3.
• Responsible for research and communication on regulatory requirements and payor policies that impact charging and reimbursement for the areas assigned.
• 4.
• Identify education and improvement opportunities for accuracy, outliers and missed revenue by utilizing data such as: revenue, RVUs, denials, CPTs by specialty, lag days in documentation to provide education to operational leaders and Physicians, APPs and other billable providers.
• 5.
• Train departments on charge reconciliation.
• Monitor to ensure the charge reconciliation is happening in the areas assigned.
• 6.
• Monitor open encounters to ensure the chart is closing within the guidelines of the policies.
• 7.
• Educate Physicians, APPs and other billable providers, practice leaders and revenue cycle on annual coding updates and drive necessary EPIC revisions.
• Work with leadership to roll out new codes as applicable and timely.
• 8.
• Analyze and ensure codes dropping are correct for all services rendered outside of that coded by HIM.
• 9.
• Support operational leaders on efforts and initiatives related to charge capture, documentation, and reimbursement items.
• 10.
• Collaborate with other departments (MILs, CDI, CDS, HIM, Charge Mgmt) and vendors to research where shared responsibilities for coding alignment or impact is needed.
• We offer a Career Advancement Program to expand your skills and grow your career.

Benefits

• RIA would need to be available M-F during business hours.
• Saint Luke’s offers competitive salaries and benefits packages to all of their employees, click here to find out more.

This position is an exempt position.

Job Requirements Applicable Experience

3-5 years Bachelor's Degree Job Details Full Time Day (United States of America)