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OCCUPATIONAL SUMMARY – Revenue Integrity
Revenue Integrity Financial Analyst II conducts routine analysis and modeling to assist in the prevention of recurring issues that can cause revenue leakage and/or compliance risks. This position uses healthcare industry standards and practices to build analytical tools. It requires the analyst to have beginner to intermediate knowledge of the use of a variety of datasets and tools. Both qualitative and quantitative analytic are performed by the analyst to find and report on patterns, insights and trends used by decision makers. Areas of support include monitoring organization’s charging practices and capture, CDM build and maintenance support, programmatic pricing strategies development and compliance/program objective reviews. Analyst will participate in the building and preparing standardized and ad hoc reports.
PRIMARY DUTIES AND RESPONSIBILITIES – Revenue Integrity
REQUIRED
PREFERRED