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Analyst - Revenue Integrity, Full-time, Days

Northwestern Medicine
City: 
Chicago
State: 
Illinois
Employment type: 
Full time
Required degree level: 
Other
Accommodations: 
Vision Accommodations
Hearing Accommodations
Neurodiversity
Learning
Mental Health
Mobility
Remote Position: 
No

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

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)

Northwestern Medicine is dedicated to providing the most advanced healthcare to the communities and patients we serve. The Northwestern Medicine clinical and administrative staff, medical and science faculty and medical students come together everyday with a shared commitment to superior quality, academic excellence, scientific discovery and patient safety.

Click the link find out more about Northwestern Medicine.