Revenue Integrity Specialist

The Revenue Integrity Specialist is responsible for ensuring accurate charge capture, coding, documentation, and reimbursement processes across the enterprise. They must be proficient in reviewing revenue cycle activities, identifying areas of risk, and providing actionable insights to improve financial performance and compliance. The position works closely with clinical and non-clinical staff to reduce denials and optimize charge capture.

Job duties include, but are not limited to:

• Assist with reimbursement analysis of new and existing service lines
• Review and process requests for new code additions
• Review quarterly and yearly CPT updates and work with multidisciplinary teams to implement coding changes
• Performs charge reconciliation activities, industry best practice research, and identifies and deploys charge capture improvement initiatives.
• Assist with the maintenance of the Charge Description Master (CDM)
• Monitor and resolve charge-related issues, identifying trends and implementing process improvements to safeguard financial stability
• Review charges against clinical documentation to ensure compliance and identify areas of opportunity
• Assist with coding-related denials and analysis
• Develop coding policies and procedures
• Other duties as assigned

Compensation:
Hourly Wage Range: $27.06 - $41.64. Please note that final compensation will be determined based on experience, qualifications and internal equity considerations.

Shifts/Hours:
80 hours biweekly, Day shifts, Monday to Friday

Benefit Offerings:
Lake Region Healthcare is pleased to offer a comprehensive benefit program designed to meet your unique needs. This includes medical and dental coverage; HSA, FSA and 401k plans; EAP, life and disability coverage; voluntary accident, critical illness and hospital indemnity coverage; pet insurance, ID theft protection and legal services. For new employees, the effective date of coverage for most plans is the first of the month, following a 30-day waiting period.

EEOC:
Lake Region Healthcare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to 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.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Requirements are representative of minimum levels of knowledge, skills, and/or abilities.

• Education/Special Skills: Associate’s Degree preferred.
• Successful completion of the pre-employment health screening process required.
• Must be able to attend the work site as scheduled.
• Licensure/Certification: Coding certification, RHIT,
• Work Experience: 3-5 years of experience in healthcare revenue cycle, medical coding, or charge auditing preferred.
• Ability to communicate effectively, in English, both orally and in writing.