Revenue Integrity Analyst

Pay Range:

Pay Range:$31.83 - $44.56 The purpose of this position is to maintain a complete, accurate and standardized Charge Description Master (CDM), with uniform data elements and consistency with clinical practice. The Revenue Integrity Analyst is responsible for reviewing, analyzing, and trending information being reported or posted in order to identify the root-cause of issues and recommend operational changes to improve net revenue and reductions in denials.

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more.

Key Essential Functions and Accountabilities of the Job

• Ensures the appropriate assignment of codes and prices in the CDM.

• Obtains and compares data from multiple sources and reviews for discrepancies using various applications. 

• Maintains CDM by identifying potential items to add to the CDM in adherence to internal policy and guidelines.

• Supports the Lead Revenue Integrity Analyst and higher-level Revenue Cycle Integrity department members with performing complex process and system analysis.

• Reviews requests and resolves issues from other departments related to compliant Charge Description master coding and charge capture.

• Provides guidance, communicates, and serves as subject matter expert for assigned service line related to the billing process, and other related subjects related to our charges.

• Other duties as assigned.

Education, Certifications, and Licenses Required

• Bachelor's degree or an equivalent combination of education and/or work in Revenue Cycle/HIM/Coding – required

Experience Required

• 2 years of experience in hospital or physician billing office – required.

Knowledge of

• Accounts receivable and medical terminology and billing/collection practices; payer edits, rejections, rules, and how to appropriately respond to each.

Skills in

• Critical thinking skills (analyzing, problem-solving, troubleshooting)

• Organizational skills

• Oral and written communication skills

Ability to

• Collaborate within cross-functional teams.

• Complete data entry for a lengthy amount of time.

• Work on different projects simultaneously, in a fast-paced setting with overlapping commitments and deadlines.

Required Certifications:

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!