Revenue Integrity Analyst

 
Position: Revenue Integrity Analyst

Job ID: 157818

Location: US-TX-Houston

Department: REVENUE INTEGRITY

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a-5p

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years. Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation. To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Summary:

• Identify and monitor departments with charge capture and denial issues and develop processes for improvement
• Runs revenue analytics to support revenue monitoring, issue investigation and resolution
• Train and monitor clinical revenue owners on charge reconciliation
• Monitors the charge reconciliation efforts of clinical revenue owners and provides outreach when necessary
• Maintain accurate and compliant Chargemaster in accordance with state, federal, and payer guidelines
• Performs periodic and annual line-item evaluation of each charge to ensure correct assignment of HCPCS/CPT, Revenue Codes, and hardcoded modifiers
• Track and trend denials metrics coordinate with clinical staff and revenue cycle areas to get support for appeals, and recommends system changes where applicable



Qualifications:

• Bachelor’s degree in healthcare administration, health information management, business, or finance required
• CHRI, CRCR, CHFP, CSAF, or CPC license preferred
• Specialty coding certification preferred
• 4 years revenue cycle experience including but not limited to revenue integrity, billing, coding, denials, patient account management, and or patient refunds required



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