Revenue Integrity Analyst

🕒 January 10

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Shriners Children's

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1922

⚕️ Healthcare Insurance

🤝 Non-profit

🔬 Science

Healthcare Insurance • Non-profit • Science

Shriners Children's is a non-profit organization that has been providing specialized pediatric care for over 100 years. With a commitment to excellence, their compassionate team of doctors and nurses focuses on delivering personalized care across various specialties, including burn care, orthopedics, and pediatric rehabilitation. They also engage in innovative research aimed at improving medical treatments and the overall quality of life for children.

📋 Description

• Ensure all items and services charged through the Charge Description Master (CDM) are described, coded, and priced appropriately • Educate ancillary departmental and clinical staff on required changes for regulatory and payor changes • Conduct charge capture assessment activities including interviews, research, and outcomes analysis • Provide analysis, documentation, and recommendations for changes to the CDM • Maintain communication with revenue departments regarding operational opportunities • Collaborate with department managers and staff to identify areas of deficiency and develop process improvements • Document all changes and revisions to CDM using appropriate software • Perform audits focusing on revenue cycle integrity • Develop ongoing education programs on charge capture and billing processes for staff members

🎯 Requirements

• 1-3 years of experience performing CDM related activities • Experience with CPT-based coding principles from both inpatient and outpatient reimbursement perspective • Experience with UB-04, MA claim form, and HCFA-1500 charge development process • Associate's Degree in business/accounting/finance or healthcare business administration - or combination education and experience considered in lieu of degree • Epic EMR required

🏖️ Benefits

• Health insurance coverage from first day • 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service • Paid time off • Life insurance • Short term and long-term disability • Flexible Spending Account (FSA) plans • Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected • Tuition reimbursement • Home & auto insurance • Hospitalization coverage • Critical illness insurance • Pet insurance and much more!