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Revenue Integrity Analyst

Saint Luke's

This is a telecommuting Revenue Integrity Analyst position requiring the employee to live in the Kansas City metro area due to occasional travel to area clinics.

The role focuses on improving charge capture accuracy through workflow assessments, coding reviews, process improvement, collaboration, and reporting. The analyst partners with leadership to develop and implement process enhancements that strengthen charge capture, documentation, denial prevention, and reimbursement integrity.

The position serves as a liaison between revenue cycle operations, IT, and finance, with responsibility for understanding physician revenue cycle workflows, departmental charging processes, CDM charge linkages, and reconciliation activities. The analyst also reviews coding performance across sections and business units and communicates denial trends to providers and operational leaders.

This exempt position is part of the Revenue Integrity Department and supports education, documentation, clean claims, and denial prevention.

Key Responsibilities

  • Conduct scheduled chart audits and provide education to physicians, APPs, and other billable providers based on audit findings.
  • Perform focused audits for internal reviews, payment integrity reviews, and payer program requests.
  • Research and communicate regulatory requirements and payer policies that affect charging and reimbursement.
  • Identify education and improvement opportunities by analyzing revenue, RVUs, denials, CPTs by specialty, and documentation lag times.
  • Train departments on charge reconciliation and monitor compliance in assigned areas.
  • Monitor open encounters to ensure charts close within policy guidelines.
  • Educate providers and practice leaders on annual coding updates and support Epic revisions.
  • Ensure codes dropping are correct for services rendered outside of those coded by HIM.
  • Support operational leaders with charge capture, documentation, and reimbursement initiatives.
  • Collaborate with departments such as CDI, CDS, HIM, Charge Management, and vendors on coding alignment and shared responsibilities.
Requirements & Qualifications

Qualifications

  • 3 years of coding experience.
  • 2 years of experience in auditing/chart reviews.
  • Advanced knowledge of coding, auditing, and documentation guidelines.
  • CPC or CCS required.
  • CPMA or CEMA required.
  • Bachelor's degree required.
  • 395 years of applicable experience preferred.
  • Must be available Monday through Friday during business hours.
Benefits & Perks

Benefits and Perks

  • Career advancement opportunities.
  • Bonus program.
  • Competitive salary and benefits package.
  • Collaborative work environment.

Location

Kansas City, Missouri, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

Yes

Posted

1 week ago

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