Job Description
Job Description Summary The Revenue Integrity Analyst will perform internal quality assessment claim reviews to ensure compliance with federal, payer and internal Revenue Cycle policies to ensure complete, accurate and consistent resolution of claims being held due to edits assigned to Revenue Integrity for resolution, resulting from charging and/or reimbursement and data integrity. The position w
8:00 AM
Pull the daily performance dashboard. Key metrics load automatically: cash collected, claims submitted, days in AR, first-pass res…
8:30 AM
Build a new denial trend report requested by the VP of Revenue Cycle. She wants to see MA vs. commercial denial rates by departmen…
10:00 AM
Present the prior auth approval rate analysis to the PA team. You've identified that one specific payer is denying initial PA requ…
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