Revenue Integrity Analyst

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General Job / Performance Information

Education and Experience

• College degree in business related field or equivalent experience.

• Medical and insurance terminology.

• Previous experience in patient accounting preferred.

Environmental / Working Conditions

• Work in a well-lighted, heated and ventilated building. Hours may vary to accommodate the needs of the department.

Interaction with Other Departments and Other Relationships

• Constant interaction with revenue generating hospital departments is required.

• This position must interact with other departments in a professional and polite manner. This position must demonstrate that the Patient Financial Services department is committed to service.

• Note: This job description/performance appraisal form does not describe all job responsibilities that may be assigned to this job. Job responsibilities may change from time to time.

• Disclaimer: Nothing in this job description restricts management's rights to assign or reassign duties and responsibilities to this job at any time. This job description reflects management's assignments of essential functions. It does not prescribe or restrict the tasks that may be assigned. Critical features of this job are described under the heading below. They may be subject to change at any time due to reasonable accommodation or other reason.

Job Description

• This position is responsible for managing post-payment audits including RAC, third-party denials, chargemaster creation and maintenance, and hold bills assigned as they relate to revenue integrity.

Physical Capabilities

• Work is of medium demand; walking, sitting and standing most of the time while on-duty. Occasional lifting is required. Adequate hand/eye coordination and fine motor skills required for typing. Talking and hearing is essential in dealing with co-workers and customers.

Skills and Abilities

• Ability to communicate both verbally and in writing

• Basic accounting and clerical skills

• Customer relations skills

• Knowledge of third party healthcare payers rules and regulations

UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

*Request for accommodations in the hire process should be directed to UMC Human Resources.*