Revenue Integrity Analyst

JOB SUMMARY The Revenue Integrity Analyst maximizes charge efficiency through (a) monitoring revenue cycle processes and staff functions; (b) supporting GoHealth revenue capture integrity by evaluating the accuracy of charge capture and billing functions and staying apprised of payor and/or regulatory updates; (c) assisting in the design and implementation of charge capture/billing workflow improvements. JOB REQUIREMENTS Education High School Diploma or GED requiredBachelor’s Degree preferred Work Experience Minimum three years’ of CBO experience working in various CBO departmentsFive years of progressive experience communicating through various means across all job categoriesRequired Licenses/Certifications Epic Physician Billing Certification, preferredCPC or CCSP Additional Knowledge, Skills and Abilities Required Strong knowledge of Excel, Word, and PowerPointAbility to interact with and work with peers and management Ability to make judgements in demanding situations Ability to react to frequent changes in duties and volume of workEffective communication skills Ability to logically organize detailsEpic and/or ECW experience ESSENTIAL FUNCTIONS • Leads the development and refinement of charge capture workflows.• Leads the development, fine tuning, and auditing of charge capture reconciliation.• Develops and maintains dashboards and reports on charge capture and charge capture reconciliation.• Monitors, reports, and takes action on trends in claim denials and zero payments.• Recommends front end staff education and communication for denial prevention.• Develops and maintains dashboard and reports on denial and zero payment management and prevention.• Prepares summaries that pinpoint root causes of charge and billing errors.• Participates in Charge Master (CDM) and Physician fee schedule maintenance efforts• Additional miscellaneous duties and responsibilities, as may be assigned.