Revenue Integrity Analyst - Laboratory
Core
Maintain laboratory chargemaster (CDM), validate test builds, audit charges for compliance, and ensure accurate reimbursement for lab services.
Role type
Revenue Integrity Analyst (Laboratory)
Builds
Accurate charge capture workflows and compliant billing processes for laboratory services
Domain
Healthcare / Clinical Laboratory Operations
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
CPT/HCPCS coding, chargemaster maintenance, medical billing, audit of laboratory charges, regulatory compliance (Medicare/NCCI), data analysis with Excel, stakeholder collaboration
Preferred skills
LIS/EHR system knowledge, contract pricing review, training staff on coding workflows
Responsibilities
Maintain and update the laboratory chargemaster (CDM) with accurate codes and pricing; Conduct routine audits of laboratory charges to identify errors or compliance risks; Partner with lab leadership, billing, and IT to support accurate charge capture; Develop documentation and reports on charge accuracy and denial trends; Collaborate with external partner hospitals to ensure CDM alignment and accurate invoicing
