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IH
Intermountain Healthcare
Revenue Integrity Analyst I
Career Insights for Business Analyst (General)
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Based on Utah data
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What they do
A Business Analyst provides strategic management consulting to companies and businesses. Advises on ways to improve operations, increase efficiency, reduce costs and increase revenues; may recommend systems or organizational change. May specialize in an area of business practice or a specific industry; may also specialize in consulting with government agencies.
$85,872 / year median in Utah
-20% projected decline
Job Description
Job Description:
The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an assigned service line. This position will support the maintenance of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s). Essential Functions This position will serve: Rehab (PT, OT, SLP), Audiology Hospital-Owned Clinics, Cardiac Rehab, Dialysis, Lab, Telehealth Analyzes data, develops reports, reviews trends and recommend enhancements as defined by the revenue practice leadership team. Participates, researches and follows-up on topics presented at department and system-wide initiatives. Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams' performance. Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits. Provides education and guidance to revenue cycle and clinical operations on report development, charge capture accountability and revenue monitoring. Performs extensive data mining, regulatory and payer policy review, abstracting of financial and clinical information from various sources Skills Data Mining Healthcare regulations Health Insurance Medical terminology Communication Detail-orientated Problem solving Data Analysis Excel Collaboration Qualifications Required Demonstrated experience in a role requiring attention to detail with excellent organizational and analytical skills. Demonstrates flexibility and adaptability to change. Demonstrates ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes.- Experience working closely with a multi-disciplinary team to optimize patient experience and operational success.
- Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
- Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
- For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.