Summary
Baylor College of Medicine - CHRISTUS Children’s in San Antonio, Texas is seeking a highly motivated professional to serve as a Revenue Integrity Analyst. This role supports revenue cycle integrity by identifying improvement opportunities, analyzing charge and billing data, and reporting findings to the Lead Revenue Cycle. The goal is to ensure compliant and accurate charge-capture practices. The analyst enhances reimbursement accuracy through systematic audits, denial trend analysis, and collaboration with clinical, financial, and IT teams to establish consistent, efficient, and compliant processes.
The ideal candidate will have strong operational skills and ability to gain the confidence of faculty, staff, leaders, colleagues, etc. Is able to demonstrate a professional, positive attitude with strong interpersonal and communication skills. Is able to work independently and collaboratively to meet deadlines. Is also highly detail-oriented, self-motivated, efficient, and strong organizational skills. Lastly, can demonstrate a high degree of flexibility in accepting work assignments with the ability to effectively prioritize tasks, understand processes, and resolve issues.
Job Duties
- Revenue Integrity Analysis & Reporting — 30%
- Analyzes revenue cycle data, trends, and performance to identify risks, gaps, and opportunities.
- Prepares and presents findings, recommendations, and revenue integrity reports to leadership before any corrective actions are initiated.
- Recommends modifications to methods or procedures to support organizational goals, pending leadership approval.
- Charge Capture, Coding Review & Documentation Alignment — 25%
- Reviews patient charts, coding, and charges to ensure documentation accuracy and compliance.
- Conducts audits and root cause analyses on billing errors, charge capture issues, and denial trends.
- Reports audit outcomes and proposed solutions to supervisors or revenue cycle leadership prior to implementation.
- Process Improvement & Implementation Support — 20%
- Participates in planning and developing process improvement initiatives across the revenue cycle.
- Reviews EHR work queues to identify patterns and systemic issues, escalating findings to leadership for direction.
- Develops databases or tools to support administrative and improvement projects, following approved guidance.
- Cross Department Collaboration & Education — 15%
- Acts as a liaison between clinical departments, affiliates, and revenue cycle teams to support accurate charge capture.
- Meets with service lines and faculty to review EHR-based information relevant to their services.
- Provides education and clarification on charge capture expectations as directed by leadership.
- Systems Support & Subject Matter Expertise — 5%
- Escalates complex inquiries further as a subject matter expert for IS/IT teams on system configuration needs.
- Ensures system workflows align with payer and regulatory requirements, escalating issues for leadership review.
- Other Duties as Assigned — 5%
- Performs additional tasks that support departmental operations, following supervisory direction.
Minimum Qualifications
- Bachelors degree in Business Administration, Health Care Administration or related field. Four years of relevant experience may substitute for degree requirement.
- Three years of relevant experience.
Preferred Qualifications
- Proficiency in Microsoft Office Suite (Excel, Outlook, Word).
- Two to four years of auditing and coding experience.
- Experience in an academic setting.
- Experience working with EPIC.
- Certified Professional Coder (CPC).
Work Authorization Requirement:
This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.