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Revenue Integrity Service Line Analyst

Thewilshiregroup
Location
Remote
Posted
9 days ago
Department
Advisory Services-Consultant Project Positions
Salary
$75-$90
What they actually want (must-haves)
  • Advanced knowledge of hospital and professional revenue cycle operations, including revenue integrity, charge capture, coding, billing, and reimbursement.
  • Strong Epic revenue cycle experience, including chargemaster/CDM management, charge router functionality, charging workflows, and workflow optimization.
  • Ability to evaluate clinical and revenue cycle workflows across multiple service lines and turn findings into practical recommendations.
  • Strong analytical, critical-thinking, and problem-solving skills, including the ability to identify root causes and assess financial impact.
  • Ability to independently manage priorities and work effectively with cross-functional teams in a remote environment.
  • Strong communication and relationship-building skills with the ability to explain revenue cycle and technical concepts to operational leaders and stakeholders.
Nice to have
  • Epic Revenue Integrity/Chargemaster certification or demonstrated Epic Revenue Cycle experience preferred.
  • Revenue integrity, coding, or revenue cycle certification preferred (CPC, COC, CCS, CHRI, CRCR, or equivalent).
  • Clinical experience or clinical education/credentials, such as RN or another relevant clinical background, is a plus for senior-level candidates.
What the job really is

The Revenue Integrity Service Line Analyst role at Wilshire involves supporting revenue integrity initiatives in a remote consulting environment. Analysts will collaborate with various stakeholders to enhance revenue capture accuracy and compliance, conduct assessments of workflows, and implement improvements. The position requires strong Epic and chargemaster experience, as well as the ability to analyze data and recommend actionable solutions.

Things to weigh
  • The role is fully remote, which may require strong self-management skills.
  • Hourly rate is specified but varies based on experience, which may lead to uncertainty in earnings for candidates.
  • The position involves collaboration with various teams, which may require adaptability to different working styles and communication methods.
Job score4/5
Benefits1/5
Freshness5/5
Career value4/5
Role clarity5/5
Pay transparency5/5

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