The Senior Revenue Integrity Analyst supports charge workflows, billing compliance, charge analysis, and pricing logic in a pediatric hospital setting. This role reviews and analyzes technical and professional services to support compliant billing practices, identifies system and charging issues, and assists with testing charge capture workflows for new locations and service lines.
Key responsibilities include maintaining the Charge Description Master (CDM), Service Master, Room and Bed Master files, and related transaction and revenue department codes. The position also monitors charge volumes, resolves code errors, supports departmental reviews, and helps improve billing functions through process and system enhancements.
The analyst serves as a subject matter expert for coding and processing questions, trains and educates coders, collaborates with clinical and administrative teams, and supports special projects related to charge capture, pricing, and revenue integrity.
Qualifications
- Associate's degree required; relevant experience may substitute for education on a 1-to-1 basis.
- Bachelor's degree in a healthcare-related field preferred.
- 4 years of experience in charge capture, coding, or charge description master work in a hospital environment for hospital and professional services.
- COC or CPC coding certification preferred.
- Strong organizational and problem-solving skills.
- Ability to delegate assignments and follow through on details.
- Strong internal and external customer service skills.
- Ability to work effectively in a fast-paced environment with multiple competing priorities.
Additional responsibilities
- Validate and approve access to charge workflows and charge corrections.
- Provide education and in-service training to departments.
- Process complex CDM requests and ensure compliance with charging, billing, coding, and pricing practices.
- Conduct annual charge master reviews and quarterly updates.
- Assign accurate CPT/HCPCS and revenue codes.
- Maintain policies and procedures for CDM, pricing, and charge capture processes.
Location
Maryland, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$77,584 - $129,293
Remote work allowed
No
Posted
1 week ago