The analyst is responsible for maintaining the accuracy and efficiency of the charge master by conducting in-depth audits and analyzing complex billing issues to ensure accurate charge capture and reimbursement. This involves evaluating and implementing charge requests with correct codes and pricing, and monitoring regulatory changes that impact revenue integrity.

The Revenue Integrity Analyst is tasked with reviewing and resolving instances of missed or miscoded charges within the billing system. This role ensures that all coding and billing practices adhere strictly to coding policies and guidelines for Medicare, Medicaid, and other payer requirements.

This role involves assisting clients with business solution definition, campaign management, and business intelligence tools, ensuring data is accurately segmented, cleansed, and ready for marketing execution. The analyst will execute and analyze decision support processes to measure campaign efficiency, data accuracy, and overall cost-effectiveness, providing data-driven recommendations to support technical operations.

The Rate Optimization Analyst primarily interprets, validates, and tests carrier rates against contracts, serving as a change agent to resolve underperforming audit KPIs by diagnosing issues and executing corrective action plans. Additionally, the role involves performing direct audit duties for assigned clients, fostering trust and transparency through accurate auditing.