Revenue Integrity Analyst Senior

Cottage Health seeks a Revenue Integrity Analyst Senior for their CH Revenue Integrity department responsible for maintaining, analyzing, standardizing and modeling revenue charges; providing reference material and charge compliance education; assisting financial planning and analysis; clearing revenue integrity related work queues in EPIC and identifying trends related to the root cause of edits. 

Qualifications

QUALIFICATIONS:

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

Education:

• Minimum: Bachelor’s degree or equivalent work experience or two years of work experience per one year of required education.

Certifications, Licenses, Registrations:

• Minimum: Coding certification (CCS, CCS-P, CPC, COC)
• Preferred: Registered Nurse. RHIA, Epic Certification in Resolute Charge Capture and/or Clarity Report Data. American Association of Healthcare Administrative Management (AAHAM) - Certified Revenue Integrity Professional (CRIP).

Technical Requirements:

• Minimum: Knowledge of MS Excel. Knowledge of billing requirements related to charges and associated claim forms. Knowledge of cost accounting concepts, principles, and computer applications.
• Preferred: Experience with electronic medical records and clinical application software.

Years of Related Work Experience:

• Minimum: 5 years Hospital/Health Care Coding experience.
• Preferred: 3 additional years Hospital/Health Care Billing or Clinical experience.