United Surgical Partners International, Inc
Revenue Integrity Analyst
United Surgical Partners International, Inc, Oklahoma City, Oklahoma, United States, 73116
Revenue Integrity Analyst | HPI
HPI is hiring a Full Time Revenue Integrity Analyst! We’re offering an exciting opportunity to work alongside a dedicated, compassionate team – where you are valued just as much as the patients we serve. At HPI, we are guided by our C.A.R.E.S. values where Compassion is required, Attitude is valued, Respect is demanded, Excellence is expected, and Service is commended. Come be a part of a place where your hard work is recognized, your goals are supported, and your impact matters.
What We Offer
Medical, dental, vision, and prescription coverage
Life and AD&D coverage
Availability of short- and long-term disability
Flexible financial benefits including FSAs, HSAs, and Daycare FSA
401(k) and access to retirement planning
Employee Assistance Program (EAP)
Paid holidays and vacation
A revenue integrity analyst in a healthcare organization is responsible for ensuring the accuracy and compliance of billing, coding, and charge capture processes to optimize revenue and minimize financial risk. They perform audits, analyze denial data, collaborate with clinical and finance teams, and develop reports to identify and address issues that impact the organization’s financial health.
Key Responsibilities
Conduct internal billing audits, perform quantitative and financial analysis, and analyze denial trends to identify root causes.
Ensure adherence to managed care contracts, government fee schedules, and other healthcare regulations.
Manage and maintain the charge master, which is a list of services and procedures a healthcare facility charges for.
Develop and produce standard and ad‑hoc reports to track revenue cycle performance, reimbursement trends, and key performance indicators.
Collaborate with clinical, operational, and finance teams to implement process improvements, workflow changes, and system enhancements.
Provide education and training to employees and provider offices on correct claim coding and billing procedures.
Essential Functions
Possess effective and efficient communication, computer, phone, and Microsoft Office skills.
Epic hospital system knowledge and experience is recommended.
Interpret various charge correction requests, determine their validity and perform necessary actions.
Recognize and address claim issues encountered through AR billing system and/or Epic.
Maintain a positive working relationship with all entities encountered on a daily basis, including clients, physicians, payers, co‑workers, management, and customers.
Handle stressful situations, multitask a variety of responsibilities, and work under strict timelines.
Be proficient in all systems, programs, and processes associated with the current position within the facilities.
Maintain charge master files and add new charge/procedure/CPT codes.
Stay up to date on coding, billing, and insurance regulations to ensure claims are filed correctly and reimbursement is not delayed.
Work cooperatively with supervisors, colleagues, and clients.
Follow directions of supervisors.
Work independently with little supervision and be able to work as part of a team.
Perform other duties as assigned.
Functional Accountabilities
Identify all charge entry errors through electronic claims submission rejections, return reports, and denials.
Research and identify charge entry errors and make all necessary corrections to resolve the issue.
Receive charge entry correction requests from department managers and perform necessary research to verify the requested correction as valid, then make the necessary claim corrections.
Respond to client requests within 1 business day to advise on correction completion or communicate expected turnaround time if completion will take longer.
Complete requests for master file revisions received from team members and management.
Review master files to ensure they are complete and all information is correct as entered.
Track errors by doctor/client, error type, and correction made so that this information can be reported to management for training of appropriate staff.
Establish and maintain a professional working relationship with all clinics/staff in all manners of communication.
Assist manager with special projects and/or reports created for clients/staff.
Work assigned work queues to completion daily.
Report all trends identified through researching errors so that they may be addressed and corrected to reduce delays in claim processing.
Review current accounts for charging accuracy prior to claims being billed.
Qualifications
High School Diploma or equivalent required.
Bachelor’s Degree in a related field is preferred, with licensure (CCS, RHIA, RHIT) preferred.
Minimum 2 years of related experience.
Epic electronic health record (EHR) experience preferred.
Proficiency in Microsoft Office preferred.
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What We Offer
Medical, dental, vision, and prescription coverage
Life and AD&D coverage
Availability of short- and long-term disability
Flexible financial benefits including FSAs, HSAs, and Daycare FSA
401(k) and access to retirement planning
Employee Assistance Program (EAP)
Paid holidays and vacation
A revenue integrity analyst in a healthcare organization is responsible for ensuring the accuracy and compliance of billing, coding, and charge capture processes to optimize revenue and minimize financial risk. They perform audits, analyze denial data, collaborate with clinical and finance teams, and develop reports to identify and address issues that impact the organization’s financial health.
Key Responsibilities
Conduct internal billing audits, perform quantitative and financial analysis, and analyze denial trends to identify root causes.
Ensure adherence to managed care contracts, government fee schedules, and other healthcare regulations.
Manage and maintain the charge master, which is a list of services and procedures a healthcare facility charges for.
Develop and produce standard and ad‑hoc reports to track revenue cycle performance, reimbursement trends, and key performance indicators.
Collaborate with clinical, operational, and finance teams to implement process improvements, workflow changes, and system enhancements.
Provide education and training to employees and provider offices on correct claim coding and billing procedures.
Essential Functions
Possess effective and efficient communication, computer, phone, and Microsoft Office skills.
Epic hospital system knowledge and experience is recommended.
Interpret various charge correction requests, determine their validity and perform necessary actions.
Recognize and address claim issues encountered through AR billing system and/or Epic.
Maintain a positive working relationship with all entities encountered on a daily basis, including clients, physicians, payers, co‑workers, management, and customers.
Handle stressful situations, multitask a variety of responsibilities, and work under strict timelines.
Be proficient in all systems, programs, and processes associated with the current position within the facilities.
Maintain charge master files and add new charge/procedure/CPT codes.
Stay up to date on coding, billing, and insurance regulations to ensure claims are filed correctly and reimbursement is not delayed.
Work cooperatively with supervisors, colleagues, and clients.
Follow directions of supervisors.
Work independently with little supervision and be able to work as part of a team.
Perform other duties as assigned.
Functional Accountabilities
Identify all charge entry errors through electronic claims submission rejections, return reports, and denials.
Research and identify charge entry errors and make all necessary corrections to resolve the issue.
Receive charge entry correction requests from department managers and perform necessary research to verify the requested correction as valid, then make the necessary claim corrections.
Respond to client requests within 1 business day to advise on correction completion or communicate expected turnaround time if completion will take longer.
Complete requests for master file revisions received from team members and management.
Review master files to ensure they are complete and all information is correct as entered.
Track errors by doctor/client, error type, and correction made so that this information can be reported to management for training of appropriate staff.
Establish and maintain a professional working relationship with all clinics/staff in all manners of communication.
Assist manager with special projects and/or reports created for clients/staff.
Work assigned work queues to completion daily.
Report all trends identified through researching errors so that they may be addressed and corrected to reduce delays in claim processing.
Review current accounts for charging accuracy prior to claims being billed.
Qualifications
High School Diploma or equivalent required.
Bachelor’s Degree in a related field is preferred, with licensure (CCS, RHIA, RHIT) preferred.
Minimum 2 years of related experience.
Epic electronic health record (EHR) experience preferred.
Proficiency in Microsoft Office preferred.
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