Revenue Integrity Analyst
Company: SSM Health
Location: Jefferson City
Posted on: June 25, 2022
Contributes and supports revenue cycle's mission for achieving
operational efficiency, regulatory compliance and proper
reimbursement entitlement. Improves revenue with a comprehensive
understanding of the revenue cycle. Collaborates with clinical and
financial leaders to strengthen charge capture through data
analysis, education and training and compliance monitoring by
designing, improving and implementing process improvement. Serves
as a resource for health ministry clinicians, coworkers, and
Leads audit/project evaluations according to RI leadership. Reviews
selected medical records documentation to determine accuracy of
charges, coding assignments, billing compliance, medical
Collaborates with shared coding and financial departments to
identify opportunities for additional revenue in accordance with
Meets with departmental leadership to review findings,
documentation standards and recommendations for improvement.
Actively participates in team development, achieving dashboards and
in accomplishing departmental goals and objectives.
Identifies charge trends and compiles information to determine
focused reviews of specific departments for leadership. Monitors
EPIC Revenue Integrity Dashboard(s) in collaboration with
Provides coding, documentation, regulatory and compliance guidance
as requested by departments.
Assists and directly provides training and orientation in group
settings as well as one-on-one, relative to charge accuracy,
coding/billing compliance and DTAR/Charge Reconciliation.
Maintains current knowledge of Charge Description Master (CDM),
Charge Preference List (CPL) and Flowsheet Charging to provide
support for assigned health ministry to produce a bill/claim.
Remains current with regulation changes and related operational
processes by attending coding conferences, workshops and in-house
sessions for updated coding information.
Contributes to improvement initiatives as directed by department
leaders, focusing on KPIs for performance board as assigned.
Performs other duties as assigned.
Bachelor's degree or equivalent combination of education and
Three years' experience within a hospital organization or physician
Frequent lifting/carrying and pushing/pulling objects weighing 0-25
Frequent sitting, standing, walking, reaching and repetitive
foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20
inches or less) and far (20 feet or more) and to identify and
Frequent use of hearing and speech to share information through
oral communication. Ability to hear alarms, malfunctioning
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and
Occasional lifting/carrying and pushing/pulling objects weighing
Keywords: SSM Health, Jefferson City , Revenue Integrity Analyst, Professions , Jefferson City, Missouri
Didn't find what you're looking for? Search again!