The Revenue Integrity Analyst is responsible for overseeing assigned system charge controls, developing charge reconciliation functions, maintaining the Charge Description Master (CDM), and supporting revenue integrity and compliance efforts across Luminis Health facilities.
The role supports revenue recognition by resolving issues related to charge reconciliation, reviewing system charge reports, identifying trends and workflow problems, and facilitating daily and weekly reconciliation calls with departments, hospital administrators, and CBOs. The analyst also reviews specific account details, analyzes revenue cycle systems and reporting data, and helps identify opportunities for charge enhancement and greater operational efficiency.
In addition, this position supports claims review and audit activities, develops and documents hospital claims review and audit policies, collaborates with facilities on clinical policy representation, and investigates aberrant or potentially fraudulent billing practices using paid claim data and medical record review. The analyst provides education to internal teams and provider offices on correct claim coding and charge processes.
Applicants should have a bachelor's degree in Finance, Accounting, or a healthcare-related field preferred.
Minimum of 2 years of experience supporting revenue cycle and clinical systems is required.
Preferred certifications include:
- RHIA
- CPC
- CCS
- COC
- HFMA certification
- NAHRI certification
Knowledge and skills should include:
- Healthcare revenue integrity principles
- Departmental charge structures
- Daily charge reconciliation processes
- Clinical orderables as they relate to charges
- Revenue integrity tools and technologies
- CPT, ICD-9, ICD-10, and HCPCS coding concepts
The role requires strong analytical, problem-solving, reporting, and communication skills.
Benefits include:
- Medical, dental, and vision insurance
- Retirement plan with employer match for eligible employees
- Paid time off
- Tuition assistance
- Employee referral bonus program
- Paid holidays
- Disability and life/AD&D coverage for full-time employees
- Wellness programs
- Employee assistance programs
Location
Maryland, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$60,000 - $107,000
Remote work allowed
No
Posted
1 month ago