Remote Revenue Integrity Analyst

Job Description

Insight Global is seeking a Revenue Integrity Analyst to support the Revenue Integrity department and serves as the key liaison and subject matter expert on all aspects of hospital charge capture and entry, charge integrity and charge reconciliation processes. This role partners with clinical and operational leaders to drive charge capture and integrity improvement initiatives, including charge reconciliation, new service implementation, CDM and payer audits, and identification of revenue optimization opportunities. The analyst ensures billing compliance and accurate charge capture through education, auditing, monitoring of regulatory and coding changes, and analysis of charge-related metrics, with a focus on minimizing revenue leakage and supporting compliant reimbursement. Focus on payer audits and payer underpayments.

Skills and Requirements

• 5+ years of Revenue Integrity experience
• Epic experience required
• Coding certification required: CPC or CCS
• Strong understanding of hospital coding and charge capture workflows- Focus on payer audits and payer underpayments.
• Understanding of CMS regulations- for multiple service lines (below)
• Multi-specialty charting experience- Cardiology, radiation oncology, diagnostic radiology
• Working experience with servicing physician queries and creating action plans from denial reports

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].