Revenue Integrity Analyst

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🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Duke Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1924

📚 Education

🤝 Non-profit

🌍 Social Impact

Education • Non-profit • Social Impact

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

• Perform medical and revenue audits to ensure revenue integrity as related to adherence to federal and state regulations, policies of external payers, and coding rules and guidelines. • Exercise independent decisions using analytical and problem-solving skills. • Provides critical analytical and negotiation support with respect to third-party payer reimbursement contracts. • Responsible for conducting quality control audits to ensure data/documentation integrity and communicating findings and recommendations. • Compiles information and/or prepares reports and analyses setting forth results of data integrity findings with appropriate recommendations.

🎯 Requirements

• Bachelor's degree in business administration, accounting, management, healthcare administration, nursing or other related degree. • 3 years of experience related to auditing and/or coding is required. • Clinical experience is preferred. • Coding certification (e.g. CCS, RHIA, RHIT) or applicable experience is preferred.

🏖️ Benefits

• N/A