Revenue Integrity Analyst Cover Letter

I am excited to be applying for the position of revenue integrity analyst. Please accept this letter and the attached resume as my interest in this position.

Previously, I was responsible for support and information to various revenue cycle departments: provider enrollment, cash application, coding and reimbursement, revenue cycle operations.

Please consider my experience and qualifications for this position:

• Knowledge of hospital finance system and preforming Charge Reconciliation with the individual departments for any rejected charges
• Quadax and/or HDS experience preferred
• Intermediate level healthcare claims experience, including but not limited to professional claims and pharmacy claims
• Working knowledge of Medical Terminology, Current Procedural Coding (CPT, HCPCS), Diagnostic Coding (ICD-10), and HIPAA ANSI codes (remark and adjustment codes)
• Read and analyze data for specific audience, as in making presentations to groups
• Willingness to travel to other work sites as needed
• Able to work independently, prioritize and manage work accurately and timely
• Extensive knowledge of CPT and HCPCs coding requirements, including Medicare and Medi-Cal regulations, NCCI edits, MUE, LCDs and NCDs

In response to your job posting for revenue integrity analyst, I am including this letter and my resume for your review.

In my previous role, I was responsible for communication, education and assistance to Regional Leadership, Directors, Clinical Departments and Gatekeepers regarding annual and quarterly CPT/HCPCS changes or additions.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Performs other duties as assigned by Operations and Finance Director for Hospital Revenue Cycle and Director Patient Accounts
• Experience in a multi-hospital and/or integrated healthcare system with familiarity of departmental charging preferred and knowledge of regulatory billing requirements
• Knowledge of CPT and ICD coding, prefer Clinical Coding Specialist (AHIMA)
• Coding certification (CPC, CPC-H, or CCS)
• Working knowledge of Revenue Cycle Operations
• Working knowledge of CPT and diagnosis coding
• Working knowledge of technical and professional claim requirements
• Working knowledge of payer referral and authorization processes and requirements

Please consider me for the revenue integrity analyst opportunity. I am including my resume that lists my qualifications and experience.

Previously, I was responsible for critical analytical and negotiation on behalf of DUHS with respect to third party payer reimbursement contracts.

Please consider my qualifications and experience:

• Extensive knowledge of chargemaster and charge integrity programs and operations
• Familiarity with hospital, SNF, Hospice, Homecare, and free standing imaging charging and billing requirements
• Knowledge in regards to payer contract requirements, claim logic and proration protocol
• Excellent communication skills, including English writing and speaking skills sufficient to allow effective, positive communications with all levels of personnel within the organization, administration, physicians, patients, and their families
• Extreme attention to detail, with highly developed organizational and follow up skills
• Knowledge of reimbursement/payment policies, medical terminology
• Experience in hospital billing to commercial and government payers, highly preferred
• Experience in pharmacy hospital charges, highly preferred

I submit this application to express my sincere interest in the revenue integrity analyst position.

In my previous role, I was responsible for direction and workload to staff toward the optimization and integrity of enterprise-wide chargemaster, strategic pricing, charge capture, billing and reimbursement.

Please consider my qualifications and experience:

• Knowledge of CPT, HCPCS, and revenue codes
• Extensive technical skills to quickly learn hospital information systems MS Office Suite
• Develops charge baselines by department and charge code for use during Epic go live and on an ongoing basis in the future
• Educates departments on procedures, tools, benchmarks, reports, regarding revenue integrity and charge reconciliation
• Determines compliance with revenue integrity initiatives during Epic go live and on an ongoing basis in the future.Identifies and reports on variances from initiatives for items such as charge budgets, timeliness of charge entry, closing of open encounters, for explanations and/or corrective action
• Identifies variances in revenue by department and follows up with department administrators for explanations and/or corrective action
• Develops and updates dashboards for revenue integrity for distribution to senior leadership and department administrators.Insures that dashboard reporting meets needs of senior leadership and department administrators
• Collaborates with Patient Financial Services on revenue cycle initiatives including but not limited to reducing charging delays/errors, establishing charges for new hospital programs and improving revenue collection

I submit this application to express my sincere interest in the revenue integrity analyst position.

In the previous role, I was responsible for guidance, communication and education on correct charge capture, coding and billing processes to multiple clinical departments and facilities.

Please consider my experience and qualifications for this position:

• Expert knowledge in reading and understanding payer regulations
• Current Certified Coding Credentialing certification (CPC, CCA, COC or CCS) preferred
• Experience in coding/billing, with knowledge of payer guidelines, preferred
• Strong Excel and Access Database skills preferred
• Healthcare experience in an acute care hospital or coding experience preferred
• Quadax or other hospital claim scrubber experience preferred
• EPIC certification in CDM Management
• Cerner application