RN Revenue Integrity Analyst

JOB REQUIREMENTS: OVERVIEW Seeking an experienced Revenue Integrity professional to partner with clinical leaders and ensure accurate charge capture, coding, and billing practices across service lines. This role evaluates charging processes, identifies revenue opportunities, monitors EPIC Revenue Integrity dashboards, supports compliance with payer and regulatory requirements, and provides education and guidance to clinical teams. The ideal candidate has strong analytical and communication skills, healthcare revenue cycle knowledge, and the ability to manage moderately complex revenue integrity projects. Schedule: 40 hours per week Shift: Day Shift Hours ESSENTIAL DUTIES AND RESPONSIBILITIES Interacts with clinical department directors to monitor charge capture functions across all entities. Evaluates current charging and coding structures and processes in clinical departments to ensure appropriate capture and reporting of revenue and compliance with government and third-party payer requirements. Completes focused charge review assessments for assigned clinical departments and/or service lines to ensure that charges are generated in accordance with established policies and timeframes. Advises service line leaders and their staff on proper usage of charge codes; identifies opportunities for capturing additional revenue in accordance with payer guidelines; develops specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections. Provides guidance and communication on correct change capture, coding and billing processes to clinical departments and facilities. Monitors EPIC Revenue Integrity Dashboard(s) Participates in moderately complex projects related to revenue integrity initiatives. Provide support for assigned cost centers within service lines Participates in analyzing changes to coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars and publications. Train and assist clinical team with revenue integrity functions. Performs miscellaneous duties as assigned. GENERAL EXPECTATIONS Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes. Comfortable in presenting to and interacting with levels of hospital management and with clinical leaders. Excellent organizational and project management skills. Strong time management, attention to detail, and follow through. Well-developed research skills. Interacts professionally with coworkers and customers to represent the Revenue Integrity Department positively. Work effectively as a team contributor on all assignments. Works independently while understanding the necessity for communicating and coordinating work efforts with other employees and... For full info follow application link. EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity employer functioning under Affirmative Action Plans. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/2478FCD74F33449D