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Analyst, Revenue Integrity

2 months ago

Chicago, United States Northwestern Medicine Full time

Remote work from Illinois, Wisconsin, Indiana, and Iowa Description The Revenue Integrity Analyst reflects the mission, vision, and values of Northwestern Medicine, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Revenue Integrity Analyst will work directly with the Revenue Integrity Senior Analyst to support the Clinical Department and revenue cycle and perform charge capture analysis including annual price increase analysis. The Revenue Integrity Analyst will be responsible for helping maintain the charge master to ensure compliance, accuracy, and consistency for Northwestern Medicine. 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. Qualifications Required: 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 Preferred: Healthcare finance experience EPIC Certification (Resolute Charge Capture) RHIA preferred or related health care credential (e.g. Radiology technician, RN) Equal Opportunity Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. #J-18808-Ljbffr