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Revenue Cycle Analyst

3 months ago

Ann Arbor, United States University of Michigan Full time

A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position. Job Summary We are seeking a Revenue Cycle Analyst to join our dedicated team. We are in search of a highly motivated individual whose primary responsibilities will include performing critical and complex charge reconciliation, coordinating/correcting billing, and analyzing trends to improve revenue within the Otolaryngology division. Responsibilities* Perform critical and complex Charge Reconciliation for Otolaryngology Service Lines across all ACU's, including adult and pediatric services. Analyze visit documentation and apply coding/billing guidelines to interpret accuracy in charge capture. Be responsible for immediate correction of missing or incorrect charges in MiChart based on review and interpretation of medical documentation. Access online payor portals to confirm payable diagnosis codes and coding/billing requirements. Abstract information from medical documentation to identify complete charge capture of services and supplies provided. Proactively review clinic schedule for possible opportunities to charge a Modifier. Be responsible for working designated billing work queues. Verify diagnosis codes, apply modifiers, and charge codes in designated work queues within 72 hours. Utilize in-depth knowledge of complex procedural billing with multiple CPT codes and associated HC charges. Execute and/or facilitate charge corrections/entry and send notification to revenue cycle team to have claim(s) billed/rebilled as needed. Run ongoing reports to identify charges that were corrected/adjusted and provide interpretation to ACU leadership for review. Partner with team lead to align with Clinical Documentation Specialist, Revenue Quality Liaison, and Contracting to help troubleshoot billing issues, educate providers, and clinical support staff on new or incorrect billing opportunities. Assist in creation of new CDM codes by coordinating with ACU management and staff to complete the cost breakdown document and send the request form to the Revenue Cycle team. Answer Otolaryngology ambulatory billing and coding related questions for providers and staff acting as subject matter expert. Respond to billing inquiries from the facility/professional billing teams, CDS, centralized authorization team, rate setting team and patient specific inquiries. Required Qualifications* High school diploma or equivalent combination of education and experience. Ability to respect and protect confidential information, work in a team environment, build trust in the working relationships with other staff and faculty, and work independently. Thorough knowledge of front-end business operations including check-in, check-out, charge entry, and cash collections. Thorough knowledge of the revenue cycle, including a detailed understanding of professional and facility revenue, work queues, charge entry (professional and hospital), CPT codes, ICD10 codes, etc. Excellent verbal, written and interpersonal skills. Demonstrated excellent work ethic. Ability to work autonomously to meet expected deadlines. Prior experience performing complex scheduling. Desired Qualifications* Knowledge of University Health System policies, procedures, and regulations. Bachelor’s degree or equivalent combination of education and experience. Minimum of five years' experience with charging practices in a clinic/ACU setting. Application Deadline Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended. U-M EEO/AA Statement The University of Michigan is an equal opportunity/affirmative action employer. #J-18808-Ljbffr