Senior Revenue Integrity Analyst

Facility:
Work from Home
- Hybrid
- Ohio Department:
Revenue Integrity Services

Schedule:

Full time

Hours:

40

• Plan and oversee revenue integrity analyst performance and report goal status to leadership
• Maintain work queues, apply regulatory changes, maintain charge master, and prevent revenue leakage
• Process assigned work queue accounts to ensure accurate, compliant billing of patient accounts
• Assist revenue integrity analysts with task completion and queue processing
• Use Epic CDM Management/Revenue Integrity to create, edit, delete, and research CDM requests for all hospital departments for hospital and professional billing
• Establish and enforce hospital pricing, coding, and regulatory changes
• Provide operational analytical support on reimbursement, charge lag, revenue trends, and other revenue‑related items
• Coordinate and collaborate with Health Information Management, Information Systems, Billing, Finance and Operations

• Education:
  
  Bachelor’s degree in Health Information Management, Finance or related field required;
  Master’s preferred
• Experience:
  
  6‑10 years of revenue integrity analyst experience in healthcare
• Experience with EPIC electronic health record and EPIC CDM/Revenue Integrity (HB and PB); certification required within 6 months of employment
• Ability to research CPT and regulatory requirements; experience with CPT and HCPCS codes and interpreting CPT guidance
• Experience in Medicare and Medicaid reimbursement methodologies
• Proficiency in Microsoft Office Tools (Outlook, Excel)

• Trisus (Craneware) charge master experience
• Strata experience
• Registered Health Information Administrator (RHIA) certification

Dayton Children’s is proud to be an Equal Opportunity Employer that values diversity and will not discriminate against minorities, women, protected veterans, individuals with disabilities, or based on age, color, gender identity, national origin, race, religion, sex, sexual orientation, or transgender status.