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Description
Revenue Integrity Analyst
$38.24 - $59.26 Hourly
Las Vegas, NV
Full Time
24-RIA-10.17
PT ACCOUNTING - 8530
03/03/2025
Continuous
Position Summary
COMPETITIVE SALARY & BENEFITS PACKAGEAs an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients.
We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.
Maintains the Chargemaster fee schedule in accordance with established coding practices and governmental regulatory requirements. Conducts quality control audits and review charge capture clinical workflows for missed revenue opportunities. Creates action plans for capturing missed revenue. Identifies edits in patient management/billing software that impacts billing accuracy. Ensures CPT, HCPCS and revenue codes are accurate and compliant will all charging and billing guidelines. Serves as a liaison between Revenue Cycle and clinical operations and information technology regarding revenue, compliance, and clinical workflow build.
Job Requirement
Education/Experience:
Graduation from an accredited school of nursing or equivalent to a Bachelor's Degree in healthcare, finance or a closely related field and three (3) years experience in reviewing hospital charge capture, medical records, clinical charts, regulatory and policy compliance, and/or claims auditing.
Licensing/Certification Requirements:
Valid state license as a Registered Nurse or certification in one of the following: Certified Professional Coder (CPC), Certified Coding Specialist - Physician based (CCS-P), Certification in Healthcare Revenue Integrity (CHRI), or the ability to obtain certificate within one (1) year of employment. Failure to obtain and/or maintain licensure will result in termination of employment.
Additional and/or Preferred Position Requirements
- Experience using Epic
- Experience in Revenue Cycle Management
- Experience in Revenue Integrity
- Experience maintaining CDM
- Knowledge of CPT, HCPCS and Revenue Codes