Revenue Integrity Analyst

🔥 16 hours ago

🌽 Illinois, Oklahoma, +2 more states – Remote

🌽 Illinois – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – Remote 🧀 Wisconsin – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 10%

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SSM Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1872

🏥 Healthcare

🤝 Non-profit

💰 Grant on 2023-12

Healthcare • Non-profit

SSM Health is a Catholic, not-for-profit health system serving communities across the U. S. Midwest through an integrated network of hospitals, clinics, and care services. With locations in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health operates acute-care and specialty services (including teaching hospitals and level‑one trauma centers), emphasizes mission-driven, compassionate care, workforce development, and employee benefits, and supports flexible nursing and other clinical roles.

📋 Description

• Contribute to revenue cycle operational efficiency, regulatory compliance, and proper reimbursement entitlement • Improve revenue through comprehensive understanding of the revenue cycle • Collaborate with clinical and financial leaders to strengthen charge capture through data analysis, education, training, and compliance monitoring • Design, improve, and implement process improvements • Serve as a resource for health ministry clinicians, coworkers, and coding • Lead audit/project evaluations according to Revenue Integrity leadership • Review medical record documentation to determine charge accuracy, coding assignments, billing compliance, and medical necessity • Collaborate with coding and financial departments to identify additional revenue opportunities according to payor guidelines • Meet with departmental leadership to review findings, documentation standards, and improvement recommendations • Participate in team development, dashboards, departmental goals, and objectives • Identify charge trends and compile information for focused departmental reviews • Monitor EPIC Revenue Integrity Dashboards with coworkers • Provide coding, documentation, regulatory, and compliance guidance • Provide group and one-on-one training and orientation on charge accuracy, coding/billing compliance, and DTAR/Charge Reconciliation • Maintain current knowledge of Charge Description Master, Charge Preference List, and Flowsheet Charging to support bill/claim production • Stay current with regulation changes and operational processes through conferences, workshops, and in-house sessions • Contribute to improvement initiatives and assigned KPI performance-board objectives • Perform other duties as assigned

🎯 Requirements

• Demonstrated understanding of revenue cycle processes and data integrity • Strong analytical skills • Proficiency in Microsoft Office and Epic • Extensive experience and in-depth knowledge of revenue cycle operations • Bachelor’s degree or equivalent combination of education and experience • Three years’ experience within a hospital organization or physician practice environment • Candidates must reside in Missouri, Illinois, Oklahoma, or Wisconsin • Ability to perform frequent lifting/carrying and pushing/pulling of objects weighing 0-25 lbs. • Ability to perform frequent sitting, standing, walking, reaching, repetitive foot/leg and hand/arm movements • Ability to use vision and depth perception for near and far distances and distinguish colors • Ability to use hearing and speech for oral communication and hear alarms and malfunctioning machinery • Frequent keyboard use/data entry • Ability to occasionally bend, stoop, kneel, squat, twist, and grip • Ability to occasionally lift/carry and push/pull objects weighing 25-50 lbs. • Ability to rarely climb • No professional license or certification required

🏖️ Benefits

• Remote work eligibility in accordance with SSM policies • Fulfilling career environment with opportunities for personal and professional growth • Diversity, innovation, and collaboration-focused workplace • Equal employment opportunities