integrity analyst

Rush University Medical Center

<p></p><div><p>Location: Chicago, Illinois</p>
<p>Business Unit: Rush Medical Center</p>
<p>Hospital: Rush University Medical Center</p>
<p>Department: Revenue Cycle Revenue Integrit</p>
<p>Work Type: Full Time (Total FTE between 0. 9 and 1. 0)</p>
<p>Shift: Shift 1</p>
<p>Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)</p>
<p>Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).</p>
<p>Pay Range: $27.47 - $43.27 per hour<br>
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush&rsquo;s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.</p>
<p>Summary:<br>
The Revenue Integrity Analyst uses advanced knowledge of coding, CDM, charge capture, and auditing to solve complex charging scenarios, provide education and assistance to operational departments, support fellow team members, and develop processes/procedures to ensure accurate and timely capture of all chargeable procedures. The Revenue Integrity Analyst also provides high-level professional support in working advanced outpatient coding edits as well as auditing charges for service lines with potential missed revenue opportunities. The individual who holds this position exemplifies the Rush mission, vision, and values and acts in accordance with Rush policies and procedures.</p>
<div>Other information:<br>
Required Job Qualifications:<br>
<ul><li>Associates degree or higher</li><li>Minimum 2-4 years of healthcare experience working with billing, charge entry, charge capture, or CDM</li><li>AAPC Certification or AHIMA Certification, or Epic Software Certification.</li><li>Proficient and functional knowledge of reviewing charges in the Epic EHR.</li><li>Advanced knowledge of medical terminology as well as medical billing language. Must demonstrate a thorough knowledge of UB-04 Revenue Codes, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Level II along with modifiers</li><li>Excellent written and oral communication skills along with problem-solving</li><li>Proficiency with MS Office Suite</li><li>High degree of accuracy and ability to collaborate with others</li></ul>
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.</div>
<div>Responsibilities:<br>
Job Responsibilities:<br>
<ul><li>Use logic-based critical thinking and decision making to accurately enter charges on patient accounts for hospital/facility and professional charges in accordance with CMS and AMA guidelines</li><li>Responsible for accounts within the assigned Epic Account, Charge Review, and Claim Edit Work queues while solving edits related to National Correct Coding Initiatives (NCCI edits), Medically Unlikely Edits (MUE edits) Procedure to Procedure (PTP edits), and Outpatient Coding Edits (OCE edits) in Epic using patient documentation, coding rules, billing guidelines, and proper modifier use in a timely manner</li><li>Assess the Charge Description Master (CDM) and contribute to accurate CDM line items by evaluating revenue codes, descriptions, CPT/HCPCS code and pricing</li><li>Audit and reconcile charges against clinical documentation, code rules and charging methodologies for internal purposes along with external audits
</li><li>Works with external vendors to review charge capture opportunities and documentation to identify missed charges and correct accounts</li><li>Identify trends, analyze to propose and create meaningful solutions, improve processes, create training content, and participate in the education of departments regarding their CDM and missed charges</li><li>Serves as subject matter expert for fellow team members to review questions and assist with resolving accounts</li><li>Meets or exceeds accuracy, quality work, on-time delivery, and productivity standards set by CMS, OIG, and direct manager</li><li>Researches all current and future complex payor requirements for compliant billing, timely payment, and maximum reimbursement</li><li>Provides input and implements process improvement initiatives recognizing revenue enhancement and charge integrity opportunities</li><li>Communicates, observes, and reports on charge entry trends and patterns and provides recommendations for improvement</li><li>Engages in continual education and training in the revenue integrity field and healthcare CDM, charges, auditing, data, and other duties or projects as assigned</li></ul></div>
<p>Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.</p></div>

Revenue Integrity Analyst

MaineHealth

<div><p><b>Description</b><br>
</p><p><br>
Professional - Nonclinical<br>
Req #: 61276</p><p></p><p><br>
Summary:<br>
The Revenue Integrity Analyst III role is responsible for improving revenue results by taking a global view of clinical and financial processes, functions, and interdependencies from the provision of patient care to final bill generation. This role will lead audit/charge evaluations.</p><p>
Required Minimum Knowledge, Skills, and Abilities (KSAs)</p><br>
<p></p><ul><li>
Education: Bachelor&rsquo;s Degree from a recognized college or university in Business, Healthcare or a closely related field required.
</li><li>License/Certifications: Applicable professional certification through AHIMA (RHIA, RHIT,CCS) or AAPC (COC, CPC), or Nursing credential (RN) preferred.
</li><li>Experience: Five years of experience in a hospital setting, healthcare industry or coding with a focus in one or more of the following areas: coding, charge integrity; charge reconciliation; charge compliance; charge auditing; CDM management required. EPIC HB/PB experience preferred. Demonstrates competency in all essential functions of a Revenue Integrity Analyst II role.
</li><li>Additional Skills/Requirements Required: N/A
</li>Additional Skills/Requirements Preferred: N/A<br>
<li>
</li></ul><p></p><br>
<br>
Additional Information<br>
<br>
With a career at any of the MaineHealth locations across Maine and New Hampshire, you&rsquo;ll be working with health care professionals that truly value the people around them &ndash; both within the walls of the organization and the communities that surround it.<br>
<br>
We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow &ndash; programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.<br>
<br>
MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you&rsquo;re looking to build a career in a place where people help one another deliver best-in-class care, apply today.<p></p><p><br>
If you have questions about this role, please contact leanne.roberts@mainehealth.org</p></div>

Revenue Integrity Analyst III

Providence

<div><p><b>Description</b></p>
<p>Under the supervision of the EWA/MT Director of Revenue Integrity, this position works closely with department Managers/Directors to develop, implement, and evaluate business processes associated with charge capture and revenue monitoring, ensuring account and claim information contains comprehensive and accurate data to provide for compliant, timely billing and optimal reimbursement for services. Responsible for leading, coordinating, and implementing PSJH Charge Description Master (CDM) updates and changes, and charge capture initiatives and processes to ensure revenue management and protection.</p>
<p>Providence caregivers are not simply valued &ndash; they&rsquo;re invaluable. Join our team at Providence St. Patrick Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.</p>
<p><b>Required Qualifications:</b></p>
<ul><li>Bachelor's Degree in business, healthcare administration or related field or equivalent work experience may be accepted in lieu of degree requirement.</li>
<li>Epic experience</li>
<li>3 years of Hospital work experience.</li>
<li>Advanced experience using spreadsheets.</li>
<li>Background in hospital and practitioner billing procedures.</li>
</ul><p><b>Why Join Providence?</b></p>
<p>Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.</p>
<p><b>About Providence</b></p>
<p>At Providence, our strength lies in Our Promise of &ldquo;Know me, care for me, ease my way.&rdquo; Working at our family of organizations means that regardless of your role, we&rsquo;ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.</p>
<p>Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</p>
<p>Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.</p>
<p>Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.</p>
<p><b>About the Team</b></p>
<p>Providence has a long-standing tradition of caring for residents in western Montana since the Sisters of Providence arrived in the state in 1864. As one of Montana&rsquo;s largest health care providers, Providence works collaboratively across traditional boundaries to develop patient-centered practices that help make lifelong quality care accessible and affordable.</p>
<p>Our award-winning and comprehensive medical centers include Providence St. Patrick Hospital in Missoula and Providence St. Joseph Medical Center, a critical access hospital in Polson. Our not-for-profit network of services also include physicians, more than 40 clinics, care centers, hospice and home health programs, and other diverse community services.</p>
<p>Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.</p>
<p><b>Requsition ID:</b> 403772
</p><p><b>Company:</b> Providence Jobs
</p><p><b>Job Category:</b> Finance Operations
</p><p><b>Job Function:</b> Finance
</p><p><b>Job Schedule:</b> Full time
</p><p><b>Job Shift:</b> Day
</p><p><b>Career Track:</b> Business Professional
</p><p><b>Department:</b> 3500 MGMT SERVICES MSLA
</p><p><b>Address:</b> MT Missoula 500 W Broadway
</p><p><b>Work Location:</b> St Patrick Hospital-Broadway Bldg-Missoula MT
</p><p><b>Workplace Type:</b> On-site
</p><p><b>Pay Range:</b> $28.71 - $44.57
</p><p>The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</p></div><p></p>

Memorial Sloan Kettering Cancer Center

<div><div><div><div><div><div><div><div><p><b>About Us:<br>
</b></p></div></div></div></div></div></div></div><p></p><p>The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it. MSK is dedicated to training the next generation of scientists and clinicians, who go on to pursue our mission at MSK and around the globe.<br>
</p><p></p><div><div><p><b>Exciting Opportunity at MSK: </b>Revenue Integrity Analyst I &ndash; Radiation Oncology
<br>
<br>
At Memorial Sloan Kettering (MSK), our Revenue Integrity team plays a critical role in ensuring accurate charge capture, compliance, and financial integrity&mdash;directly supporting MSK&rsquo;s mission to end cancer for life. As a <b>Revenue Integrity </b><b>Analyst I </b>, you&rsquo;ll collaborate across clinical and financial teams to strengthen workflows and optimize revenue outcomes.
</p></div><p></p><div><p><b>Role Overview
</b></p></div><p></p><div><ul><li><p>Serve as subject matter expert on charge capture and revenue integrity processes , including Radiation Oncology.
</p></li></ul></div><div><ul><li><p>Manage Charge Description Master (CDM) reviews and ensure ongoing integrity.
</p></li></ul></div><div><ul><li><p>Implement standardized corrective measures to improve charge workflows.
</p></li></ul></div><div><ul><li><p>Analyze coding and billing changes and adjust systems accordingly.
</p></li></ul></div><div><ul><li><p>Support departmental initiatives impacting CDM and compliance.
</p></li></ul></div><div><ul><li><p>Collaborate with revenue operations and budget teams on quarterly and annual coding updates.
</p></li></ul></div><div><ul><li><p>Evaluate Epic work/error queues, perform root cause analysis, and recommend solutions.
</p></li></ul></div><div><ul><li><p>Guide clinical departments on correct charge capture, coding, and billing practices.
</p></li></ul></div><div><ul><li><p>Present findings and recommendations to leadership and governance committees.
</p></li></ul></div><p></p><div><p><b>Key Qualifications
</b></p></div><p></p><div><ul><li><p>Strong knowledge of charge capture, CPT/HCPCS coding, and billing compliance.
</p></li></ul></div><div><ul><li><p>COC, CPC, or AHIMA-CCS certification highly desirable.
</p></li></ul></div><div><ul><li><p>Proven experience collaborating with clinical, financial, and operations teams.
</p></li></ul></div><div><ul><li><p>Familiarity with healthcare revenue cycle operations and regulatory requirements.
</p></li></ul></div><div><ul><li><p>Experience analyzing and optimizing Epic charging workflows.
</p></li></ul></div><div><ul><li><p>Ability to lead charge reconciliation education and training initiatives.
</p></li></ul></div><div><ul><li><p>Demonstrated success in identifying workflow deficiencies and implementing sustainable solutions.
</p></li></ul></div><p></p><div><p><b>Core Skills
</b></p></div></div><div><div><ul><li><p>Proficiency with Microsoft Office
</p></li></ul></div><div><ul><li><p>Epic experience strongly preferred
</p></li></ul></div><div><ul><li><p>Radiation Oncology charge capture knowledge strongly preferred
</p></li></ul></div><div><ul><li><p>Strong analytical skills to evaluate workflows, error queues, and compliance risks.
</p></li></ul></div><div><ul><li><p>Ability to clearly communicate findings and educate diverse stakeholders.<br>
</p></li></ul></div><p></p><div><p><b>Additional Information
</b></p></div><p></p><div><ul><li><p>Schedule: 9:00 AM &ndash; 5:00 PM EST, Monday &ndash; Friday
</p></li></ul></div><div><ul><li><p>Location: Hybrid; Primary remote with on site as needed at 633 Third Avenue, New York, NY
</p></li></ul></div><div><ul><li><p>Reporting To the Director, Revenue Integrity<br>
</p></li></ul></div><p></p><div><p><b>Helpful Links </b>:<br>
</p></div><p></p><div><p>Compensation Philosophy
</p></div><div><p>Benefits<br>
</p></div></div><p></p>Pay Range: $75,500.00 - $116,900.00<br>
<p></p>FSLA Status: Exempt<br>
<p></p><p><b>Closing </b>:
</p><p></p><p>At MSK, we believe in fair, competitive pay that reflects your job, experience, and skills.
</p><p></p><p>MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision.
</p><p></p><p>Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.</p></div>

Revenue Integrity Analyst I - Radiation Oncology

UNC Health

<div><p><b>Description</b>
</p><p>Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.</p><p>
Summary:<br>
Assists the Charge Master Coordinator in the maintenance of the CDM.</p><p></p><p><br>
Responsibilities:<br>
1. Analyzes and coordinates electronic data files with hospital departments and ensures missed charges are billed. Creates and maintains daily excel files. Coordinates rule issues with vendor and compiles new rules as necessary. Creates and submits quarterly reports to monitor the impact of missed revenue and the outcome of revenue posted. Submits recommendations and assists departments with corrective action plans.<br>
2. Assists CDM Coordinator with maintenance of the charge master file. Performs daily validation of CDM maintenance. Performs general CDM maintenance as required. Processes/coordinates CDM projects/files given by manager. Assists with reconciliation of monthly CDM files in BPI.<br>
3. Audits revenue reports to ensure charge accuracy. Reviews daily high dollar reports to ensure accuracy of charge amount and units billed. Coordinates activities with hospital departments to make charge corrections. Performs periodic audits to ensure appropriate charging of services based on medical documentation. Compiles reports and submit findings and recommendations to department managers.<br>
4. Reviews departmental charge capture procedures. Yearly review procedures, ensures updates have been added. Maintains a copy of all procedures. Performs random department audits to ensure they are following their procedures.</p><p></p><h3 class="jobSectionHeader"><b><br>
Other Information</b></h3><div>
Other information:<br>
<b>Education Requirements:</b><br>
<ul><li>Bachelor&rsquo;s degree in an appropriate discipline (or equivalent combination of education, training and experience).</li></ul><b>
Licensure/Certification Requirements:</b><br>
<ul><li>No licensure or certification required.</li></ul><b>
Professional Experience Requirements:</b><br>
<ul><li>If a Bachelor's degree: Three (3) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.</li><li>If an Associate's degree: Seven (7) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.</li><li>If a High School diploma or GED: Eleven (11) years of experience in a hospital setting with knowledge of Medicare billing and experience interpreting government regulations.</li></ul><b>
Knowledge/Skills/and Abilities Requirements:</b></div><h3 class="jobSectionHeader"><b><br>
Job Details</b></h3><p>
Legal Employer: NCHEALTH</p><p>
Entity: Shared Services</p><p><br>
Organization Unit: HIM Revenue Integrity
</p><p>Work Type: Full Time</p><p><br>
Standard Hours Per Week: 40.00</p><p>
Salary Range: $21.40 - $30.76 per hour (Hiring Range)</p><p><br>
Pay offers are determined by experience and internal equity</p><p><br>
Work Assignment Type: Remote</p><p>
Work Schedule: Day Job</p><p>
Location of Job: US:NC:Chapel Hill</p><p>
Exempt From Overtime: Exempt: No</p><p></p><p><br>
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.</p><p></p><p><br>
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.<br>
<br>
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.</p></div>

Charge Integrity Analyst - HIM Revenue Integrity

Arrise

<div><div><b><i>Turning Data into Decisions, Driving Performance Forward.</i></b></div><div>
</div><div><b>
Role Description:</b></div><div>
</div><div>
The Equipment Integrity Business Analyst provides critical insights through the analysis of Live Casino data, team performance, and game equipment logs. They create automated reports and data visualizations to support informed decision-making, contributing to the continuous improvement of company performance.</div><div>
</div><div><b>
Responsibilities:</b></div><div>
</div><ul><li>Analyze Live Casino data, team performance metrics, and game equipment logs to generate actionable insights.</li><li>Develop and automate reports in Tableau Server to track game statistics.</li><li>Build and maintain analytical tools in PowerBI to support data-driven decisions.</li><li>Collaborate with Risk/Surveillance and HR departments to ensure smooth cross-functional operations.</li><li>Provide daily activity reports to line managers and proactively address any potential issues.</li><li>Ensure compliance with company standards, data confidentiality, and security protocols.</li></ul><div>
</div><div><b>
Requirements:</b></div><div>
</div><ul><li>University degree with a minimum of 3 years of experience in a similar role.</li><li>Proficiency in English, both written and verbal.</li><li>Advanced Excel skills, including VBA.</li><li>Strong experience with Microsoft PowerBI and Tableau Server.</li><li>Working knowledge of SQL databases and basic programming skills.</li><li>Strong organizational and presentation skills with attention to detail.</li></ul><div>
</div><div><b>
Nice to Have:</b></div><div>
</div><ul><li>Experience in gaming or similar industries.</li><li>Familiarity with data security best practices.</li><li>Certifications in data analytics or business intelligence tools.</li></ul><div>
</div><div><b>
Benefits:</b></div><ul><li><b>
Competitive Salary</b> with performance-based bonuses.</li><li><b>
Paid Training</b> to ensure you are well-versed in the company&rsquo;s quality standards and procedures.</li><li><b>
Visa Support</b></li><li><b>
Medical Insurance</b></li><li><b>
Career Development</b>: Opportunities for growth within a leading international tech company.</li></ul><div></div><div><br>
</div><div><b><i>
Ready to Elevate Your Career? Join ARRISE Today!</i></b></div><div>
</div><div><b>
About Us</b></div><div><br>
<b>
ARRISE </b>is a leading supplier of player-favorite content to the iGaming industry. We are a software development and services company delivering end-to-end digital solutions. Headquartered in Gibraltar, with offices around the world&mdash;including Malta, Romania, India, Canada, and Bulgaria&mdash;we are a global team of over 5,000 talented individuals with decades of experience across multiple industries and professions. Together, we form a cross-functional powerhouse driven to deliver.</div></div>

Equipment Integrity Business Analyst

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