RN Analyst Revenue Integrity

As a Revenue Integrity RN, you will apply clinical and analytical expertise to support the Revenue Reporting and Systems Department, helping ensure cost-effective and compliant revenue generation aligned with organizational values.

You will optimize revenue operations, identify opportunities to improve net revenue realization and cash flow, and serve as a resource for internal departments including patient financial services and finance.

The role includes developing reports, providing clinical and financial education on revenue operations, collaborating with analysts and department managers, and supporting multiple hospital sites to control late charges and improve charge capture.

Responsibilities

• Access and coordinate data from hospital and Dignity Health systems for opportunity identification, monitoring, and reporting of revenue cycle performance from a clinical perspective.
• Coordinate with finance, decision support, business office, and other departments to develop reporting templates for monitoring and troubleshooting revenue performance.
• Assist with maintenance of the CDM, including research of appropriate coding, cost, and pricing information.
• Model reimbursement terms to determine the expected financial impact of process and chargemaster modifications.
• Evaluate and respond to data and statistical report requests from other departments, division offices, and systems offices.
• Prepare and post daily charges for the Cath Lab and complete charge reconciliation for rejected charges on a daily basis.