Deaconess News
Job Overview
The
IT Revenue Integrity Analyst
plays a critical role in ensuring accurate, compliant, and optimized revenue capture through data analysis, process improvement, and system validation. This position bridges clinical, financial, and IT operations by identifying revenue leakage, charge capture issues, and opportunities for improved billing practices.
The ideal candidate will bring a strong understanding of healthcare billing, coding, and regulatory compliance, along with technical expertise in working with EHRs, charge masters, and healthcare data systems.
What Will You Do
Monitor and analyze charge capture processes to ensure accurate and complete charging.
Identify trends, anomalies, and root causes of revenue leakage or missed charges.
Perform audits of charge data, coding, and system interfaces to ensure compliance and accuracy.
Maintain knowledge base and flowcharts pertaining to key revenue cycle workflows, including Revenue Cycle Reporting tools.
Maintain knowledge base of all revenue cycle integration points for each organization on our instance of Epic, including third‑party integration and internal system workflows that drive revenue cycle.
Collaborate with IT and clinical departments to validate system‑generated charges (e.g., via EHR or billing software).
Support configuration and maintenance of charge master and fee schedules within healthcare IT systems.
Test system changes and upgrades to ensure revenue integrity.
Generate regular reports and dashboards highlighting revenue performance, charge compliance, and financial impact.
Present findings and recommendations to stakeholders across revenue cycle, clinical, and IT departments.
Ensure adherence to CMS, HIPAA, and payer‑specific regulations and guidelines.
Keep up to date on regulatory changes affecting charge capture, billing, and documentation.
Contribute to training and documentation related to revenue integrity practices.
What You Will Need Required
Bachelor’s degree in Healthcare Administration, Finance, Information Systems, or related field.
3+ years of experience in healthcare revenue cycle, billing, coding, or healthcare IT.
Knowledge of CPT/HCPCS, ICD‑10, and healthcare billing practices.
Experience with EHR systems (e.g., Epic, Cerner, Meditech) and charge master structures.
Strong data analysis skills (Excel, SQL, or similar tools).
Preferred
Certifications such as CPC, CPMA, CCS, or CRCR.
Motivations
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization.
Growth Opportunities: Inspired to perform well by the chance to take on more responsibility.
Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals.
Self‑Starter: Inspired to perform without outside help.
Goal Completion: Inspired to perform well by the completion of tasks.
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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IT Revenue Integrity Analyst
plays a critical role in ensuring accurate, compliant, and optimized revenue capture through data analysis, process improvement, and system validation. This position bridges clinical, financial, and IT operations by identifying revenue leakage, charge capture issues, and opportunities for improved billing practices.
The ideal candidate will bring a strong understanding of healthcare billing, coding, and regulatory compliance, along with technical expertise in working with EHRs, charge masters, and healthcare data systems.
What Will You Do
Monitor and analyze charge capture processes to ensure accurate and complete charging.
Identify trends, anomalies, and root causes of revenue leakage or missed charges.
Perform audits of charge data, coding, and system interfaces to ensure compliance and accuracy.
Maintain knowledge base and flowcharts pertaining to key revenue cycle workflows, including Revenue Cycle Reporting tools.
Maintain knowledge base of all revenue cycle integration points for each organization on our instance of Epic, including third‑party integration and internal system workflows that drive revenue cycle.
Collaborate with IT and clinical departments to validate system‑generated charges (e.g., via EHR or billing software).
Support configuration and maintenance of charge master and fee schedules within healthcare IT systems.
Test system changes and upgrades to ensure revenue integrity.
Generate regular reports and dashboards highlighting revenue performance, charge compliance, and financial impact.
Present findings and recommendations to stakeholders across revenue cycle, clinical, and IT departments.
Ensure adherence to CMS, HIPAA, and payer‑specific regulations and guidelines.
Keep up to date on regulatory changes affecting charge capture, billing, and documentation.
Contribute to training and documentation related to revenue integrity practices.
What You Will Need Required
Bachelor’s degree in Healthcare Administration, Finance, Information Systems, or related field.
3+ years of experience in healthcare revenue cycle, billing, coding, or healthcare IT.
Knowledge of CPT/HCPCS, ICD‑10, and healthcare billing practices.
Experience with EHR systems (e.g., Epic, Cerner, Meditech) and charge master structures.
Strong data analysis skills (Excel, SQL, or similar tools).
Preferred
Certifications such as CPC, CPMA, CCS, or CRCR.
Motivations
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization.
Growth Opportunities: Inspired to perform well by the chance to take on more responsibility.
Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals.
Self‑Starter: Inspired to perform without outside help.
Goal Completion: Inspired to perform well by the completion of tasks.
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr