Revenue Integrity Analyst - Remote

Published date Posted on Indeed on Jan 11, 2022 (14 d ago)

Thank you for considering a career at Ensemble Health Partners!

This position is primarily responsible for all acute and non-acute Revenue Cycle analytical needs. This includes the creation and maintenance of scorecards, dashboards, and ad hoc reporting using a variety of source systems and presentation software. In addition, this position is required to provide analytical insight regarding all reports. This position is responsible to discover root causes and to develop a corrective action plan. Recommends modifications to established practices & procedures or system functionality as needed to support revenue cycle and then manages implementation of those recommended changes. The analyst will work with internal customers to ensure newly implemented workflows and procedures, support revenue cycle integrity and to achieve revenue cycle’s financial goals. The analyst participates in implementation of new & existing functionality to support revenue cycle processes.

Essential Job Functions:

Daily review of charge items & Revenue Integrity work queues to ensure they are resolved accurately and in a timely manner to meet the deadlines. Analyze billed charges, medical records and related medical documentation to look for missing, incorrect or late charges. Evaluate charge capture practices for their assigned facilities to ensure accuracy & completeness of charge capture and compliance with government and non-government payers rules and regulations. Follow up as appropriate when unusual items are noted and ensure problems are resolved and prevented in the future. Maintain working knowledge of CPT and HCPCs coding as well all billing, CCI, MUEs, and other relevant coding/ billing guidelines. Provide recommendation based on finding to improve charge capture workflows and to standardize charge capture practices. Reports on trends, findings, and opportunities for improvement to managements detailing findings and high risk items that leaders should be monitoring, including missing, incorrect, and late charges. Work closely with individual facilities representatives/clinical staff to establish and maintain positive relations to ensure revenue integrity goals are achieved. Participate in onsite meetings and interact on regular basis with site based department leaders regarding changes in charge capture practice. Performs database editing/auditing functions to maintain and/or improve data quality. Other job duties as assigned.


Employment Qualifications:

Minimum Education : Bachelor’s Degree or equivalent experience


Minimum Years and Type of Experience: 5 or more years of related experience desired


Other Knowledge, Skills, and Abilities: Excellent knowledge of Epic, Excel and SQL queries. Working knowledge of CPT & HCPCs coding guidelines. Excellent computer, proof reading, and written and verbal communication skills. Excellent interpersonal skills including the ability to communicate effectively with CHP internal and external customer base. Ability to work independently, proactively with limited supervision and also as a team player when called upon. Ability to work under pressure. Ability to maintain the security of confidential information.

Scheduled Weekly Hours:

40

Work Shift:

Days (United States of America)

We’ll also reward your hard work with:

  • Great health, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w/AD&D
  • Paid time off
  • Tuition reimbursement
  • And a lot more

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact our Human Resources Department at 877-692-7780 or Recruitment@ensemblehp.com . This department will make sure you get connected to a Human Resources representative that can assist you.

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