The Revenue Integrity Analyst is responsible for maintaining, analyzing, standardizing and modeling revenue charges; providing reference material and charge compliance education; assisting financial planning and analysis; clearing revenue integrity related work queues in EPIC and identifying trends related to the root cause of edits.

QUALIFICATIONS 

All job qualifications listed indicate the minimum level necessary to perform this job proficiently. 

LEVEL OF EDUCATION 

Minimum: Bachelor’s degree or equivalent work experience or two years of work experience per one year of required education.  

CERTIFICATIONS, LICENSES, REGISTRATIONS 

Minimum: Coding certification (CCS, CCS-P, CPC, COC)  Preferred: Registered Nurse. RHIA, Epic Certification in Resolute Charge Capture and/or Clarity Report Data. American Association of Healthcare Administrative Management (AAHAM) - Certified Revenue Integrity Professional (CRIP). 

TECHNICAL REQUIREMENTS 

Minimum: Knowledge of MS Excel. Knowledge of billing requirements related to charges and associated claim forms. Knowledge of cost accounting concepts, principles, and computer applications  Preferred: Experience with electronic medical records and clinical application software 

YEARS OF RELATED WORK EXPERIENCE 

Minimum: 5 years Hospital/Health Care Coding experience  Preferred: 3 additional years Hospital/Health Care Billing or Clinical experience