Revenue Integrity Analyst
Revenue Integrity Analyst
Charleston, South Carolina
The Revenue Integrity Analyst will perform internal quality assessment claim reviews to ensure compliance with federal, payer and internal Revenue Cycle policies to ensure complete, accurate and consistent resolution of claims being held due to edits assigned to Revenue Integrity for resolution, resulting from charging and/or reimbursement and data integrity. The position works to improve the accuracy, integrity and quality of patient charges and to ensure minimal variation in charging practices. The Revenue Integrity Analyst researches claim data variances, evaluates payer updates and assist in the performance of chart-to-bill audits to produce and maintain timely, accurate and inclusive charge capture coding and billing functions. Works to identify charge issues and recommend solutions. The Revenue Integrity Analyst also coordinates and manages several projects simultaneously, reprioritizing when necessary. Identifies the key types of data extraction necessary to create enhanced reports and enrich the analysis from several systems for the purpose of increasing revenue.
Bachelor's degree in health administration, business, finance or related field. Three years' experience in revenue cycle, analytics or reporting required or High school diploma or equivalent plus seven years revenue cycle billing may be substituted for a Bachelor's degree. Certified Professional Coder (CPC) preferred. Healthcare finance and revenue cycle setting required. Preferred experience with Epic. PC skills including Excel and PowerPoint required. Demonstrated ability to present analytical topics to a clinical audience and/or senior leadership preferred. Excellent communication skills required.
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.