The Revenue Integrity Senior Analyst is responsible for managing and configuring Memorial Healthcare System’s complex applications to support organizational needs, including design, development, testing, and implementation of system rules and requirements.
This role serves as a lead resource for Revenue Integrity services, ensuring reimbursement, charge capture, and billing processes remain accurate and compliant with monthly, quarterly, and annual updates. In collaboration with end users and department leaders, the Senior Analyst provides guidance, communication, and technical expertise to maintain efficient and compliant revenue operations.
Responsibilities
- Build custom Work Queues, Revenue Guardian tools, and Charge Router/Handler rules to detect and prevent errors.
- Design and run projects independently, meeting with department leaders and staff to develop strategies for solving charging and billing issues.
- Serve as a liaison between the Revenue Integrity team and customers.
- Lead or oversee an entire business application module or system, providing mentorship and guidance to junior administrators.
- Provide solutions by building new user requirements, functionality, or enhancements to improve efficiency and user satisfaction.
- Map revenue and UOS to correct GL accounts to ensure accurate internal and external reporting.
- Conduct regular audits to ensure timeliness and accuracy of charging and billing.
- Audit and review CPT, HCPCS, and revenue codes prior to EAP build.
- Maintain data integrity when manipulating data files for analysis.
- Ensure Epic software releases are configured correctly to prevent disruption or errors in charge capture.
- Provide training and guidance to Epic Clinical Department teams on proper use of EAP codes.
- Perform root-cause analysis and collaborate with departments on corrective actions.
- Organize data and written information into draft projects and proposals.
- Analyze business processes and data to identify improvement opportunities using information technology.
Required Qualifications
- Bachelor’s degree required.
- Epic Charge Router Certification.
- Epic Resolute Billing Certification.
- Minimum of 3 years working with the Epic Resolute Hospital Billing system in a large multi-hospital organization.
- Proficiency in CPT, HCPCS, and ICD-10-CM coding.
- Proficiency with Microsoft Office products and hospital billing systems.
- Must have or be pursuing a coding credential from AHIMA or AAPC, to be obtained within 12 months of hire.
- CPC or COC preferred.
- Bachelor’s degree in Healthcare Administration or related field with at least 3 years of relevant work experience, or associate’s degree with at least 5 years of relevant work experience.
- Oncology specialization requires at least 3 years of experience in revenue cycle, oncology billing and/or coding, charge auditing, and/or cancer care.
- Prior experience with the Aria oncology platform preferred.
- Strong critical thinking, communication, and decisive judgment skills.
- Ability to work independently in a stressful environment.
- Experience with charge capture, billing, auditing, and revenue cycle processes.
Location
Florida, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
3 weeks ago