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Revenue Integrity Coding Analyst Jobs in Illinois

Sarah Bush Lincoln

Revenue Integrity Analyst

Mattoon, IL · On-site

$54K - $84K/yr

Revenue Integrity Analyst The Revenue Integrity Analyst ensures accurate and compliant patient billing by analyzing charge capture, coding, and claims processes, identifying revenue leakage through ...

Sarahbush

$54K - $84K/yr

Revenue Integrity Analyst The Revenue Integrity Analyst ensures accurate and compliant patient billing by analyzing charge capture, coding, and claims processes, identifying revenue leakage through ...

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Revenue Integrity Coding Analyst information

How much does a revenue integrity coding analyst make?

The average salary for a revenue integrity coding analyst in Texas ranges from $50,000 to $70,000 annually, depending on experience, certifications, and the healthcare facility. Salaries may also vary based on location, with higher pay often found in larger or urban hospitals. Professional certifications like CPC or CCS can enhance earning potential.

What is a revenue integrity coding analyst?

A Revenue Integrity Coding Analyst is a healthcare professional responsible for ensuring that medical coding and billing practices comply with regulations and maximize appropriate revenue for healthcare organizations. They review clinical documentation, coding, and billing data to identify discrepancies or errors that could impact reimbursement. Their role often involves analyzing trends, implementing process improvements, and working closely with clinical and billing staff to ensure accurate and compliant revenue cycle management. By doing so, they help prevent revenue loss and minimize the risk of audits or penalties.

What is the difference between Revenue Integrity Coding Analyst vs Revenue Cycle Specialist?

AspectRevenue Integrity Coding AnalystRevenue Cycle Specialist
CertificationsCPH, CCS, CPCCPH, CPC, RHIT
Work EnvironmentHospital, outpatient, billing departmentsHospital, billing, insurance
Primary FocusEnsuring accurate coding and complianceManaging entire revenue cycle process

The Revenue Integrity Coding Analyst primarily focuses on accurate coding and compliance to optimize revenue, while the Revenue Cycle Specialist manages the broader revenue cycle, including billing and collections. Both roles require similar certifications and work in healthcare settings, but their core responsibilities differ, making them distinct yet related positions in healthcare revenue management.

What are the key skills and qualifications needed to thrive as a revenue integrity coding analyst?

To thrive as a Revenue Integrity Coding Analyst, you need a strong understanding of medical coding, billing regulations, and healthcare reimbursement systems, often supported by certifications such as CPC or CCS. Familiarity with coding software, electronic health records (EHR), and audit tools is typically required. Attention to detail, analytical thinking, and effective communication are standout soft skills in this role. These competencies are vital to ensure accurate coding, compliance, and optimal revenue capture for healthcare organizations.

What does a revenue integrity coding analyst do?

A revenue integrity coding analyst reviews and ensures the accuracy of medical coding and billing processes to maximize revenue and compliance. They analyze patient records, apply appropriate codes using coding systems like ICD-10 and CPT, and collaborate with billing teams to prevent revenue loss and identify discrepancies. Strong attention to detail, knowledge of healthcare regulations, and proficiency with coding software are essential for this role.

How does a revenue integrity coding analyst typically collaborate with clinical and billing teams to ensure accurate revenue capture?

Revenue Integrity Coding Analysts work closely with both clinical staff and billing departments to ensure medical codes are applied accurately and efficiently. They often review clinical documentation, clarify ambiguities with physicians, and communicate any coding discrepancies to billing teams. This collaboration helps prevent revenue leakage, supports compliance with regulations, and ensures timely and accurate reimbursement. Regular meetings and feedback sessions are common to address ongoing coding challenges and implement process improvements.
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Revenue Integrity Coding Analyst jobs near you

SINAI CHICAGO REVENUE INTEGRITY ANALYST

Sinai Chicago

Chicago, IL • Hybrid

Full-time

Re-posted 5 days ago

Sinai Chicago rating

7.8

Company rating: 7.8 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

Job description

GENERAL SUMMARY/BASIC PURPOSE OF JOB:

The Revenue Integrity Analyst is a key role in instilling a culture of revenue cycle quality performance.  The Sinai Chicago Revenue Integrity Analyst is a hybrid role that will bridge gaps to assist with facilitating process flows. The Revenue Integrity Analyst will consistently demonstrate support of Sinai Health Systems Mission, Vision and Core Values by contributing to the team efforts and showing respect for and compassion for patients and their families, fellow employees, and all others with whom there is contract at or in the interest of the organization.

Under the direction of the Revenue Integrity Manager, the Revenue Integrity Analyst will assist with chargemaster (CDM) integrity, code assignment, claim editing, the development, training and education of process flows that reflect best practices and supports our vision. 

MINIMUM EDUCATION: 

  • High school diploma or GED

MINIMUM WORK EXPERIENCE:

  • Coding credentials preferred: Certified General Surgery Coder (CGSC)
  • Minimum 2 years hospital revenue cycle experience required.  Preferably in coding and billing   • Epic experience preferred
  • Excellent verbal and written communication and organizational skills 
  • Accuracy, attention to detail and time management skills
  • Solid written and oral communication  
  • Proficient in Excel
  • Adaptability to healthcare and practice changes in a dynamic environment  
  • Resourcefulness, time-management, organization, problem-solving and critical thinking skills

REQUIRED LICENSES, CERTIFICATES, REGISTRATIONS:

  • CERTIFIED PROFESSIONAL CODER (CPC), CERTIFIED OUTPATIENT CODER (COC), CERTIFIED CODING SPECIALIST (CCS) OR CERTIFIED CODING ASSOCIATE (CCA)

What Sinai Chicago employees say

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About Sinai Chicago

Sourced by ZipRecruiter

Sinai Chicago is an integral part of the healthcare industry, established to provide quality and accessible healthcare for the Chicago, IL, US community. The organization operates across various healthcare sectors including teaching, research, and providing clinical care. Since its inception in 1919, Sinai Chicago has been resolute in improving the health of the people and communities it serves, with a focus on delivering value-based care to areas with pressing health needs. The core values of Sinai Chicago include respect, integrity, teamwork, accountability, and quality. The company's mission and commitment lie in nurturing healthier communities through the provision of accessible, quality healthcare.

Industry

Health care and social assistance and hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Chicago, IL, US

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