Revenue Integrity Analyst

Description Master (CDM) is maintained regularly.Leads efforts of collaboration with multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of hospital net revenue through management of the hospital charge master.Operational ImprovementCollaborates with stakeholders in revenue enhancement projects including Denial Management, APC Billing and/or other committees as needed.Provides leadership and expertise with various groups to develop new areas of review for future revenue enhancement and/or compliance initiatives.Conduct thorough analysis of billing errors and denial data to diagnose root causes. Utilizes independent decision making to execute work plans to correct identified deficiencies related to charge problems. Responsible for problem solving and resolution of complex claim edits.Stay up-to-date with industry trends, emerging technologies, and regulatory changes affecting healthcare revenue cycle management and proactively share knowledge with the team.Perform Quality Assurance on team members, as needed.Trending and analysis of key data to identify areas for additional education.Charge CaptureServes as subject matter expert (SME) of charge capture methodologies and helps investigate and solve charging issues and provide charge capture recommendations to clinical departments and hospital staff.Collaborate with client leadership to ensure charge trigger matrix is clearly documented and updated, as needed.Diagnoses root cause issues of charge problems and provides client education for best practice recommendations for improvement.Conduct root cause analysis on late charge reporting and provide client education for timely charge capture.Ensure effective monitoring and internal control processes in place to improve revenue capture.Rounding with ClientsRounding on client revenue leaders on a quarterly basis to review questions concerning charge reconciliation, charge processes, CDM.Attend meetings to support system conversions, revenue cycle initiatives and foster good working relationships with key contacts.Additional Job functions:Identify operational performance and revenue opportunities through detailed data review.Ensure effective monitoring and reporting control processes in place to improve performance.Evaluation of current processes and tools and propose changes in order to drive efficiencies within Revenue Cycle.Coordinate operational objectives by contributing information and recommendations to strategic plans and reviews; preparing and completing action plans.This position will be proactive in auditing and reconciling his/her own data findings, report results in order to maintain improve the quality and integrity data provided by the analyst.Experience We Love:3-5 years related experience requiredExcellent 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.Minimum Education:  Bachelor’s Degree or equivalent experienceCertifications:CRCR Required within 9 months of hire (company paid)#LI-LS1#LI-REMOTEJoin an award-winning companyFive-time winner of “Best in KLAS” 2020-2022, 2024-2025Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-202422 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023Energage Top Workplaces USA 2022-2024Fortune Media Best Workplaces in Healthcare 2024Monster Top Workplace for Remote Work 2024Great Place to Work certified 2023-2024InnovationWork-Life FlexibilityLeadershipPurpose + ValuesBottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture– Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.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 .This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.EEOC – Know Your RightsFMLA Rights - EnglishLa FMLA EspañolE-Verify Participating Employer (English and Spanish)Know your Rights