Senior Revenue Integrity Analyst - FT - Days - MHS
Core
Senior Revenue Integrity Analyst managing and configuring Memorial Healthcare System's complex applications to support organizational needs, ensuring reimbursement, charge capture, and billing processes remain accurate and compliant.
Role type
Senior IC revenue integrity analyst (healthcare billing)
Builds
Custom Work Queues, Revenue Guardian tools, Charge Router/Handler rules, and Epic system configurations
Domain
Healthcare / Revenue Cycle Management / Billing Systems
Required skills
Epic Resolute Hospital Billing system expertise, CPT/HCPCS/ICD-10-CM coding, data integrity management, root-cause analysis, business process analysis, system rule design, charge auditing, GL account mapping
Preferred skills
AHIMA or AAPC coding credential, CPC or COC certification, Aria oncology platform experience, oncology billing and coding specialization
Technologies
Epic Resolute, Epic Charge Router, Epic Billing, Microsoft Office
Responsibilities
Design, develop, test, and implement system rules and requirements for revenue integrity; Build custom tools to detect and prevent billing errors; Conduct regular audits to ensure timeliness and accuracy of charging and billing; Map revenue and UOS to correct GL accounts; Perform root-cause analysis and collaborate with departments for corrective actions; Provide training and guidance to Clinical Department teams on EAP codes; Analyze business processes and data to identify opportunities for improvement.
Seniority
Senior, hands-on IC
