Revenue Integrity Analyst

Job not on LinkedIn

🔥 1 minute ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Duke Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1924

💼 Consulting

🏥 Healthcare

📚 Education

Consulting • Healthcare • Education

Duke Careers is a platform connected to Duke University's rich legacy, established in 1924. It aims to celebrate the centennial of Duke University while providing resources, stories, and interviews that reflect the university's history, current achievements, and future aspirations. A key focus of Duke Careers is to engage with alumni and the community, showcasing the transformative impact of education and leadership within the university.

📋 Description

• Support revenue integrity and charge capture optimization initiatives within Duke Health's Charge Description Master team • Review pre-bill accounts flagged through Epic Revenue Guardian edits • Enter missing hospital charges based on supporting medical documentation • Evaluate charge capture opportunities and determine appropriate charge corrections • Develop strategies for implementing new Revenue Guardian edits to reduce revenue leakage • Provide analytical support related to third-party payer reimbursement and contract compliance • Conduct quality control audits to ensure data and documentation integrity • Trend accounts qualifying for Revenue Guardian edits and compile findings by clinical department for education deliverables • Serve as subject matter expert to leadership on Revenue Integrity issues • Prepare monthly reports and educational presentations for clinical departments and Revenue Manager teams • Monitor data trends to validate documentation improvement and charge capture initiatives • Follow up with health team members to ensure accurate and complete medical-record documentation • Collaborate with operational leaders to develop provider and service-line education strategies • Use root cause analysis to correct negative trends and behaviors • Review contracted-payer charges and payments for accuracy and manage appeals processes • Identify revenue gains through reporting tools • Perform other related duties

🎯 Requirements

• Bachelor's degree in business administration, accounting, management, healthcare administration, nursing, or another related field • 3 years of experience related to coding • Coding certification required, such as CPC, CCS, RHIA, or RHIT • In-depth knowledge of Medicare/Medicaid regulations, including billing, coding, and documentation requirements • Revenue Cycle experience • Strong oral and written communication skills • Research-oriented with ability to critically analyze and reason large amounts of data • Charge capture, reporting, and analysis experience preferred

🏖️ Benefits

• Equal opportunity employer • Commitment to collaboration, innovation, creativity, and belonging • Reasonable accommodation information and provisions available upon request