Revenue Integrity Analyst for Ambulatory Revenue Cycle

3 hours ago

New York, New York, United States United Surgical Partners Full time

About United Surgical Partners

NYU Langone Health is a world-class, patient-centered, integrated academic medical center, known for its excellence in clinical care, research, and education. It comprises more than 200 locations throughout the New York area.

Job Summary

We have an exciting opportunity to join our team as a Revenue Integrity Analyst. In this role, the successful candidate will be responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection.

Key Responsibilities

  • Conduct internal audits and reviews activities to improve the revenue cycle, claims production, and coding integrity.
  • Assist with special projects on an as-needed basis.
  • Provide onsite support and assistance for new practices; train staff on workflows and EPIC Charge and Edit work queues.
  • Monitor the Ambulatory Open Encounters report to ensure that charges are submitted timely.
  • Lead and participate in moderately complex projects related to revenue cycle initiatives.
  • Analyze billing error and denial data to identify root causes. Execute on work plans to correct identified deficiencies.
  • Conduct special projects and studies to facilitate revenue management as required for system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc.
  • Identify front-end operation improvements and assist with re-training.
  • Provide guidance and education related to billing and charge capture of services to multiple staff levels; facilitate proper recording of transactions in compliance with state, federal, and other third-party payer guidelines.
  • Maintain collaborative relationships with internal and external teams to ensure integration and alignment of department priorities.
  • Reviews, monitors, and facilitates implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements.
  • Performs charge reconciliation process to ensure that charges are captured.
  • Performs various financial analyses and provides recommendations based on activities. Review monthly FGP revenue cycle metrics for areas of improvement within practices.
  • Implements charge capture corrective measures and monitoring tools to ensure sustainability of changes; performs, reviews, and monitors statistics and key performance indicators to identify improvement opportunities.
  • Works directly with Faculty Practice Billing Coordinators on developing and maintaining solvency within each practice's revenue cycle. Review, monitors, and tracks charge and edit work queues of each billing coordinator and provide support if needed.

Minimum Qualifications

To qualify, you must have a Bachelor's degree and 4-6 years of auditing, revenue cycle management experience in a healthcare environment or equivalent combination of education and experience.

Compensation

The estimated salary range for this position is $85,000 - $110,000 per year, depending on experience and qualifications.

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