Senior Revenue Integrity Analyst

Job description

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: First Shift (United States of America) Senior Revenue Integrity Analyst Make an impact where healthcare, coding, and revenue come together! Nebraska Medicine is seeking a Revenue Integrity Analyst to help ensure accurate charge capture, coding, claims production, and reimbursement. In this hands-on role, you’ll conduct audits and reviews, investigate revenue-cycle issues, identify trends and opportunities, and collaborate with Patient Financial Services, clinical departments, compliance positions, and other partners to help prevent issues before they affect reimbursement. You’ll also have the opportunity to contribute to process improvements, provide education, and support solutions that strengthen revenue integrity across the organization. If you’re a detail-oriented healthcare professional who enjoys digging into the details, solving problems, and using your expertise to improve processes and protect revenue , we’d love to hear from you! Details: Senior Revenue Integrity Analyst Candidate must live in Nebraska or Iowa Preferred consideration will be given to applicants with EPIC HB/PB experience Resume REQUIRED for consideration Why Work at Nebraska Medicine? Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration. Leading Health Network Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care. Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve. Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Enjoy support for your personal growth within the organization, from those just starting their healthcare careers to those who are years down the path. Be part of something extraordinary at Nebraska Medicine! The Senior Revenue Integrity Analyst conducts audit/review activities to ensure appropriate revenue management, charge capture, claims production, coding integrity, and provider code assignment. This position supports education to applicable leadership, implementation support and serves as a facility liaison to Nebraska Medicine's staff as it relates to billing system issues. As part of the Health Information Management Department, reporting directly to the Revenue Integrity Manager, this position has collaborative relationships with Patient Financial Services, Clinical Departments, and Compliance. Conducts special projects and studies to facilitate revenue management as required. Required Qualifications: Senior Revenue Integrity Analyst • Minimum three years of experience in revenue integrity in a hospital or healthcare setting or coding required. • High school education or equivalent required. • Bachelor's degree in Health Information Management (HIM), business or other healthcare related field or equivalent combination of education/experience (two years experience in health information management equals one year of education) required. • Current knowledge of revenue cycle processes and hospital/ medical billing required. • Understanding of components of electronic medical record required. • Current knowledge of code data sets to include CPT, HCPCS, ICD-10-CM, and ICD-10-PCS. • Current knowledge of NCCI edits, and Medicare LCD/NCDs required. • Interpersonal and communication skills, analytic and organizational skills, critical -thinking and the ability to meet deadlines required. • Computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet required. • Applicable professional certification through American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Coding Associate (CCA) or America Academy of Professional Coders (AAPC); Certified Professional Coder Hospital (CPC H), Certified Outpatient Coder - Hospital (COC-H) required. Preferred Qualifications: Senior Revenue Integrity Analyst • Experience with EPIC HB/PB preferred. Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.