Revenue Integrity Analyst

Full Time
Costa Mesa, CA 92626
Posted
Job description
  • Serves as the principal point of contact for charging related issues.
  • Responsible for managing, coordinating, and implementing all edits to the chargemaster.
  • Works closely with clinical departments to educate in charge capture and pricing.
  • Implements annual price increase and coordinates Medicare OPPS updates.
  • Makes recommendations relative to compliance concerns related to charging practices.
  • Analyzes and resolves specific billing edits/errors that are delaying claims for processing in EPIC.
  • Ensures revenue routes to the correct cost center, audits for missing charges and late charges.
  • Reports and tracks Epic charge-related issues for resolution.
  • Coordinates to Finance team any productivity (RVU) revisions as impacted by CDM changes.
  • Creates policies and procedures related to hospital charge practices.
  • Perform other duties as assigned.

Job Types: Full-time, Contract

Pay: $32.00 - $35.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off

Schedule:

  • Monday to Friday

Ability to commute/relocate:

  • Costa Mesa, CA 92626: Reliably commute or planning to relocate before starting work (Required)

Experience:

  • Healthcare Revenue Cycle Operations: 3 years (Required)
  • medical coding (CPT): 3 years (Required)
  • Epic EMR system: 3 years (Required)

Work Location: In person

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