Revenue Integrity Analyst II

Role Overview

• This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient's account within Intermountain's policies and procedures.
• Analyzes data, develops reports, reviews trends and recommends enhancements as defined by the revenue practice leadership team.
• Performs extensive data mining, mentoring/training, regulatory and payer policy review, abstracting of financial and clinical information from various sources.
• Presents, researches, and follows-up on topics reviewed at department and system-wide initiative levels.
• Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams performance.
• Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits.
• Audits and evaluates system automation by comparing the charge/claim data to the clinical record.
• Leverages other system functionalities to expediate the claim processing for compliant and optimized hospital accounts.
• Evaluates, provides education and guidance to revenue cycle, revenue practice teams and clinical operations on report development, charge capture accountability and revenue monitoring.
• Mentors and supports the training of other revenue integrity analysts.

Requirements

• Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group.
• Experience in a role requiring attention to detail with excellent organizational and analytical skills.
• Demonstrated proficiency with Epic clinical and/or billing applications.
• Demonstrates ability to be flexible and adaptable to change.
• Demonstrates ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes.
• Experience working closely with a multi-disciplinary team to optimize patient experience and operational success.
• Demonstrates advanced knowledge of regulation, payer policy, charge capture and/or revenue monitoring.
• Bachelor’s degree in healthcare administration, or medical, analytical field from an accredited institution (preferred).
• Education is verified.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.