Revenue Integrity Analyst

Provides oversight & support of the workflow & functions in accordance with level of experience, education & standards. Assumes an expanded role & increased responsibility including delegating to others. Participates in the development of & the process improvement of policies & procedures. Works closely with leadership to maintain efficient & effective operations to ensure quality in daily operations. Responsible for ensuring accurate CPT/HCPCS documentation for the patient billing process and educating colleagues and ancillary departments in accurately documenting services performed and using the appropriate codes representing those services. Responsible for charge capture in Revenue Integrity assigned areas. Review's chart, including nursing notes, physician orders, progress notes, and surgical or specialty notes thoroughly to interpret and validate and/or extract all charges. Verifies charges captured on the correct patient, correct encounter, correct date of service, with any required modifiers. Review's documentation, abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review