Revenue Integrity Analyst II
Intermountain Health - Washington, DC
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Job Description: The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position will monitor and support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). This position will support the development and management of integrated charge capture workflows in partnership with senior analysts and leadership, working closely with the clinical and clinical application teams. _Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings._ _We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Pennsylvania, Rhode Island, Vermont, and Washington._ Essential Functions u00b7 Analyzes data, develops reports, reviews trends and recommends enhancements as defined by the revenue practice leadership team. u00b7 Performs extensive data mining, mentoring/training, regulatory and payer policy review, abstracting of financial and clinical information from various sources u00b7 Presents, researches, and follows-up on topics reviewed at department and system-wide initiative levels. u00b7 Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams' performance. u00b7 Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. u00b7 Audits and evaluates system automation by comparing the charge/claim data to the clinical record. Leverages other system functionalities to expediate the claim processing for compliant and optimized hospital accounts. u00b7 Evaluates, provides education and guidance to revenue cycle, revenue practice teams and clinical operations on report development, charge capture accountability and revenue monitoring. u00b7 Mentors and supports the training of other revenue integrity analysts. Skills u00b7 Data Analysis u00b7 Healthcare Regulations u00b7 Process improvement u00b7 Health Insurance u00b7 CMS u00b7 Problem solving Data Mining u00b7 Excel u00b7 Collaboration Qualifications Required u00b7 Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. u00b7 Experience in a role requiring attention to detail with excellent organizational and analytical skills. u00b7 Demonstrated proficiency with Epic clinical and/or billing applications. u00b7 Demonstrates ability to be flexible and adaptable to change. u00b7 Demonstrates ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes. u00b7 Experience working closely with a multi-disciplinary team to optimize patient experience and operational success. u00b7 Demonstrates advanced knowledge of regulation, payer policy, charge capture and/or revenue monitoring. Preferred u00b7 Bacheloru2019s degree in healthcare administration, or medical, analytical field from an accredited institution. Education is verified. u00b7 Proficient or certified with Epic clinical or billing applications. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required. Strong oral and written communication skills with the ability to communicate effectively with diverse audiences. 2. Take personal responsibility for personal growth including acquiring new skills, knowledge, and information. 3. Demonstrate attention to detail and accuracy in work product. 4. Strong problem solving and analytical skills. 5. Ability to work independently and as part of a team. 6. Basic mathematics skills. 7. Intermediate skills in Word and Excel 8. Experience collaborating communicating with site staff and leadership and system office personnel Interact with others by effectively communicating, both orally and in writing.- and -Operate computers and other office equipment requiring the ability to move fingers and hands.- and -See and read computer monitors and documents.- and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.- and -May require lifting and transporting objects and office supplies, bending, kneeling and reaching. Location: Peaks Regional Office Work City: Broomfield Work State: Colorado Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $37.31 - $58.75 We care about your well-being u2013 mind, body, and spirit u2013 which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence (
Created: 2026-03-12