This list contains only the countries for which job offers have been published in the selected language (e.g., in the French version, only job offers written in French are displayed, and in the English version, only those in English).
We are looking for an experienced Revenue Integrity Analyst to join our healthcare team in Indianapolis, Indiana. In this Contract to permanent position, you will play a vital role in ensuring the financial health of the organization by managing revenue processes, optimizing reimbursement strategies, and maintaining compliance with healthcare regulations. This role demands exceptional analytical skills and a deep understanding of revenue cycle operations to drive success in a dynamic healthcare environment.
Job Responsibility:
Oversee and enhance revenue integrity processes, ensuring accurate charge capture and clinical documentation management
Monitor charge capture workflows to identify and resolve issues that may lead to revenue loss
Collaborate with clinical teams to ensure documentation supports proper coding and reimbursement
Conduct detailed analysis of claims data, identifying denial trends and implementing strategies to reduce denials
Perform coding audits to ensure compliance with regulations and accuracy in billing practices
Address areas of revenue leakage by improving coding, billing, and claims follow-up processes
Manage the charge description master to ensure accurate and consistent billing information
Utilize reporting tools to track revenue integrity initiatives and implement updates based on regulatory changes
Serve as a consultant to operational teams, providing expertise to improve processes and maximize revenue opportunities
Develop and deliver training programs to promote understanding and compliance with revenue integrity practices
Requirements:
Strong medical coding background, with 3–5 years of operational coding experience
Procedural coding focus (not inpatient coding). This includes surgery, but also Cath lab, interventional radiology, and revenue code 360
Understanding of what triggers carve outs and higher case rate scenarios, and the ability to review situations that drive these outcomes
Familiarity with APC rate assignment and how services map to APC groupers
Ability to identify medical rebill opportunities tied to medical necessity issues
Working knowledge of CMS Addendum B and its implications for outpatient procedural reimbursement
What we offer:
medical, vision, dental, and life and disability insurance