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Revenue Integrity Analyst

SSM Health

Job Summary

Contributes to the revenue cycle mission by supporting operational efficiency, regulatory compliance, and proper reimbursement. Partners with clinical and financial leaders to improve charge capture through data analysis, education, training, and compliance monitoring.

Work Environment

  • Full-time, Monday through Friday, day shift
  • Remote work may be available in accordance with company policy
  • Candidates must reside in Missouri, Illinois, Oklahoma, or Wisconsin
Requirements & Qualifications

Qualifications

  • Bachelor's degree or equivalent combination of education and experience
  • Three years of experience within a hospital organization or physician practice environment
  • Comprehensive knowledge of healthcare revenue cycle operations, including:
    • Charge capture
    • Coding
    • Billing compliance
    • Reimbursement
    • Claim production
  • Strong analytical skills and commitment to data integrity
  • Proficiency in Epic and Microsoft Office

Responsibilities

  • Lead audit and project evaluations
  • Review medical record documentation for charge accuracy, coding assignments, billing compliance, and medical necessity
  • Collaborate with coding and financial departments to identify revenue opportunities
  • Review findings with departmental leadership and recommend improvements
  • Monitor revenue integrity dashboards and identify charge trends
  • Provide coding, documentation, regulatory, and compliance guidance
  • Assist with training and orientation related to charge accuracy and billing compliance
  • Maintain current knowledge of CDM, CPL, and Flowsheet Charging
  • Participate in process improvement initiatives and departmental goals

Location

Missouri, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

Yes

Posted

1 week ago

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