INTEGRIS Health
INTEGRIS Health
Sistemul de servicii medicale INTEGRIS Health, deținut de statul Oklahoma, deservește comunitățile din întregul stat prin spitale, centre de recuperare, clinici medicale, unități de sănătate mintală, centre de îngrijire urgentă, agenții de îngrijire medicală la domiciliu, centre de fitness și comunități de locuințe independente. Activitatea sa reunește o rețea extinsă de profesioniști din domeniul sănătății, preocupați să ajute familiile din Oklahoma să ducă o viață mai sănătoasă prin îngrijire empatică și de calitate. Organizația oferă, de asemenea, oportunități de carieră într-o gamă largă de specializări medicale și funcții de sprijin.

Revenue Integrity Analyst II

Improve charge capture, billing compliance, and reimbursement at INTEGRIS Health. Investigate revenue risks, report performance trends, and lead improvements across complex clinical service lines.

Descriere

  • Support accurate revenue capture, payer compliance, and reimbursement across the health system.
  • Investigate significant billing edits, recurring revenue discrepancies, and coding or documentation risks.
  • Track trends, determine root causes, and recommend corrective actions.
  • Lead detailed charge capture reviews and improve documentation, charging practices, and revenue accuracy.
  • Create, analyze, and present dashboards and reports on denial trends, charge lag, missed charges, net revenue performance, and other key measures.
  • Assess the costs and benefits of revenue improvement proposals, workflow redesigns, and operational strategies.
  • Take part in payer and internal audits, prepare documentation, support responses, and help plan corrective actions.
  • Work with Compliance and CDM teams to monitor risks, correct billing, and support enterprise initiatives.
  • Serve as the designated analyst for assigned high-volume or complex clinical service lines.
  • Lead quarterly reviews with operational leaders, presenting findings, trends, risks, and opportunities for improvement.

Cerințe

  • Five years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or financial analysis, plus one of the listed certifications; alternatively, eight years of progressive experience in revenue cycle, billing compliance, healthcare reimbursement, or healthcare financial analysis in place of education and certification.
  • A bachelor's degree in Finance, Healthcare Administration, Business, Nursing, or a related field may substitute for experience and certifications.
  • AHIMA-CCS, AAPC-CPC, CMC, AHIMA-RHIT, or AHIMA-RHIA certification may substitute for a bachelor's degree.
  • Strong knowledge of hospital and physician billing, coding, and reimbursement methods.
  • Proficiency with revenue cycle systems, Excel, and data visualization or reporting tools.
  • Ability to analyze large data sets, identify trends, and clearly present findings.
  • Effective written and verbal communication, including explaining complex revenue issues to clinical and operational leaders.
  • Ability to lead initiatives to improve charge capture, reduce denials, and strengthen compliance.
  • Analytical problem-solving skills and attention to detail.
  • Ability to collaborate across Finance, Compliance, CDM, Clinical, and Operational leadership.
  • Strong presentation and facilitation skills.
  • Ability to independently manage multiple priorities in a fast-paced environment.
  • Ability to sit and stand, use standard office equipment, communicate verbally, and demonstrate manual dexterity and visual acuity.
  • Occasional travel between system facilities may be required.

Beneficii

  • Front-loaded paid time off.
  • Medical benefits through the INTEGRIS Health network.
  • Financial assistance for continued education.
  • 24/7 mental health support.
  • Career and development opportunities.

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