Revenue Integrity Analyst
Northwestern Medicine
Job highlights
Summary
Join Northwestern Medicine as a Revenue Integrity Analyst and contribute to our patient-first approach to healthcare. You will work closely with the Senior Analyst to support the Clinical Department and revenue cycle, focusing on charge capture analysis and maintaining the charge master for compliance and accuracy. Responsibilities include performing audits, identifying charge capture opportunities, researching billing regulations, and liaising with various departments. This role requires a Bachelor's degree or equivalent experience, along with strong analytical and communication skills and knowledge of CPT coding and Medicare/Medicaid regulations. Northwestern Medicine offers competitive benefits, including 401(k) matching and lifecycle benefits.
Requirements
- Bachelors Degree in Business or related field or 10+ years of equivalent experience with progressive advancement
- 3+ years of relevant experience
- Excellent communication, collaboration, analytical, and accounting skills
- High level of precision and attention to detail
- Expert knowledge of Microsoft Office Suite
- Moderate / Advanced understanding of CPT coding and third party billing requirements
- Knowledge and experience with Medicare/Medicaid regulations
Responsibilities
- Perform daily maintenance and quarterly audits of the EAP
- Prepare necessary files for the EAP database of required department builds
- Identify charge capture opportunities or compliance issues in revenue producing departments
- Research billing and coding regulations. Communicate and assist in implement any necessary changes to impacted area that affect policy, financial, charge capture, patient care, billing, and coding operations
- Assist in quarterly audits on the charge master data elements
- Review departmental front-end charge capture tools for accuracy. Take necessary action to ensure accurate charging on patient accounts
- Support complex audits and prepares methodology for annual pricing review and coding changes
- Liaison with Revenue Cycle, IT and clinical departments to link EPIC and charge master
- Consistently delivers concrete, relevant results. Displays qualities of resiliency and resourcefulness while thinking strategically and practically when problem solving. In addition to results orientation, displays business knowledge, speed and decisiveness, and project management
- Supports the finance, operations and revenue cycle teams through special projects
- Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies
- Protect operations by keeping financial and patient information confidential
- Support the finance operations of Northwestern Medicine
Preferred Qualifications
- Healthcare finance experience
- EPIC Certification (Resolute Charge Capture)
- RHIA preferred or related health care credential (e.g. Radiology technician, RN)
Benefits
- 401(k) matching
- Lifecycle benefits
- Tuition reimbursement
- Loan forgiveness
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