Revenue Integrity Analyst

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $38.25 per hour
- PTO available from day one for eligible hires
- Up to 5% employer matching contribution for retirement

- Career development guided by hands-on training and mentorship
- Opportunity to work in a multidisciplinary team focused on patient care

What to Expect (Job Responsibilities):
- Design, maintain, and enhance dashboards and scorecards for denials, write-offs, payer performance, and charge activity
- Conduct audits and Revenue Guardian checks to validate charge accuracy and completeness
- Monitor and resolve Discharged Not Billed (DNB) accounts to ensure timely claim submission
- Investigate denials and underpayments, identify root causes, and recommend process improvements
- Manage appeals for underpaid claims and track outcomes

What is Required (Qualifications):
- Associate's degree in Healthcare Administration, Finance, Business Analytics, or a related field, and/or 2-3 years of experience in healthcare revenue cycle analytics, charge auditing, or payment integrity
- Knowledge of healthcare billing, denial management, and/or payer reimbursement methodologies
- Must be able to perform essential job functions satisfactorily, including effective communication and visual acuity
- Ability to work effectively in a team environment and coordinate workflow with other team members
- Commitment to Avera’s mission, vision, core values, and social principles

How to Stand Out (Preferred Qualifications):
- Bachelor's degree in a related field
- Certified Revenue Cycle Representative (CRCR) or Certified Specialist Payment & Reimbursement (CSPR) - Healthcare Finance Management Association (HFMA) upon hire
- Proficiency in data visualization tools (e.g., Power BI, Tableau) and Excel

- Experience with Epic reporting tools (e.g., Slicer Dicer, Reporting Workbench, Clarity)
- Previous experience in healthcare revenue cycle analytics, charge auditing, or payment integrity

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