Jefferson Health
Revenue Integrity Analyst II-1
Philadelphia, PA · Full-time · Posted Oct 28, 2026
- Experience
- 1–3 years related to auditing and/or coding required; five years in a hospital setting or healthcare industry strongly preferred.
- Education
- Bachelor's or Associate’s degree in Health Information Management, Business Administration, Accounting, Management, or Healthcare Administration.
About the job
Improves patient-charge accuracy and revenue integrity by analyzing payer rules, charge workflows, coding, billing, and related claims issues across clinical service lines.
What you'll do
- Acts as the liaison and subject matter expert between Revenue Cycle and clinical departments on payer guidelines, charge capture, coding, and billing.
- Reviews charges and Charge Description Master changes, identifies trends and root causes of claim issues, and recommends workflow improvements.
- Supports chargemaster review, education, and training, and facilitates service-line revenue cycle meetings.
What they ask for
- Must maintain at least one credential: RHIA, RHIT, CCS, or CPC.
- 1–3 years of experience related to auditing and/or coding.
- Knowledge of Medicare/Medicaid regulations and billing, coding, and documentation requirements.
- Bachelor's or Associate’s degree in Health Information Management, Business Administration, Accounting, Management, or Healthcare Administration.
Nice to have
- Applicable AAHAM or HFMA professional certifications.
- Five years of experience in a hospital setting or within the healthcare industry is strongly preferred.
Tools
IPPS, OPPS
Model-written summary · the original posting is authoritative