Revenue Integrity Analyst, CDM

Job not on LinkedIn

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 10%

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 University Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

💰 $129.6k Grant on 2022-12

Healthcare • Education

Duke University Health System is an academic health system (branded Duke Health) that delivers clinical care, patient services, research and education across multiple integrated divisions. Its offerings include clinical laboratories, primary care, homecare & hospice, patient revenue management, health technology solutions, and transport services such as Duke Life Flight. The organization emphasizes advancing health through patient care, workforce development, and innovation—summarized by its mission “Advancing Health Together”—and is recognized for safety, quality, and employer culture.

📋 Description

• 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/documentation integrity • Trend accounts qualifying for Revenue Guardian edits and compile data 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 initiatives and optimize charge capture • 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 charges and payments for accuracy from contracted payers • Manage the appeals process with assigned payers in hospital and clinic settings • Identify revenue gains through reporting tools • Perform other related duties

🎯 Requirements

• Bachelor's degree in business administration, accounting, management, healthcare administration, nursing or other related degree • 3 years of experience related to coding required • Coding certification (e.g. CPC, CCS, RHIA, RHIT) required • 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 • Reasonable accommodation information and support for essential physical job functions