Are you a certified Revenue Integrity Analyst looking to join a company based on excellence and love?

ChristianaCare is searching for a Revenue Integrity Analyst to ensure all items and services such as procedures, patient visits, supplies, and pharmaceuticals that are charged for through the Charge Description Master (CDM) are described, coded, and priced appropriately and are representative of services provided. This position will also complete financial analyses of assigned cases to determine charge and revenue implications related to CDM maintenance.

ChristianaCare has multiple outpatient infusion centers so it is strongly preferred potential candidates have specialty knowledge with infusion, transfusion, medical oncology/hematology charging, coding and billing experience.

Some responsibilities include:

• Maintains knowledge of and organizational compliance with state, federal, and other third-party payer billing and reimbursement guidelines.
• Reviews, develops, implements, evaluates, and revises charge guidelines to ensure compliant charging; effectively implements recommendations and monitors results.
• Compiles and analyzes data from various sources to develop recommendations leading to potential revenue cycle opportunities, including analyses related to CDM set-up, charge capture, billing and/or patient financial services.
• Facilitates mitigation of edits to ensure appropriate coding and claim submission to secure reimbursement by distributing edits to appropriate departmental queues.
• Tracks edit volume by type and department for management purposes. Prepares weekly status reports of accounts and dollars pending due to bill edits.

Desired candidates will hold a Bachelor's degree from an accredited college in a relevant field of study. A Coding Certification (CPC, COC, CCS) is required. One to three years of revenue cycle management and/or revenue integrity experience in a healthcare environment. Equivalent and relevant combination of education and experience may be considered in lieu of Bachelor's degree.

If this position speaks to you, please apply to join our team!

When you become an employee at ChristianaCare, you are joining a healthcare organization that was named Forbes 5th Best Health System to Work for in the U.S. for 2021! Guided by excellence and love, our Caregivers enjoy many employee benefits such as

• work-life balance/hybrid schedule
• competitive pay and benefits
• generous paid time off
• diverse and inclusive culture

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.