[Hiring] Revenue Integrity Analyst @Mosaic Life Care

Role Description

As part of the Revenue Integrity department, the Revenue Integrity Analyst is responsible for identifying and correcting the processes and systems that lead to lost revenue opportunities and reduced reimbursement for the care provided to patients.

• Performs and reviews regular audits to support the maintenance and enhancement of Mosaic Life Care's charge capture, compliance, and billing functions.
• Explores potential charge capture workflow enhancements and applies a consistent charge structure.
• Reviews rate setting according to industry standards, payer contracts, and denial trends.
• Ensures that charges make it to billing by working with departments and Technical Services to monitor processes handling charge interface exceptions.
• May be involved in the design and implementation of data extraction and analytics processes across departments and service lines to pinpoint potential revenue leakage.
• Maximizes charge efficiency through:
  • Monitoring revenue cycle processes and staff functions.
  • Supporting revenue capture and integrity by evaluating the accuracy of charge capture and billing functions and staying apprised of payer and/or regulatory updates.
  • Assisting in the design and implementation of charge capture/billing workflow improvements.
• Resolves Epic WQs pertaining to:
  • CCI and MUE Edits
  • Denials
  • Missing Cost Center
  • Missing Charges
  • Charge Review WQs
  • Physician Missing Charges Reports
  • Revenue Guardian edits
• Performs RAC audits and appeals.
• Assists with CDM updates; develops annual CPT/HCPC code updates and training.
• Performs other duties assigned.

Benefits

• Wide array of benefits to meet each employee’s individual needs.
• Designed by listening to employees.
• Concierge services.
• Employee lounge.
• Wellness programs.
• Free covered parking.
• Free on-site and virtual health clinics.
• Many more perks to ensure employees feel valued.

Company Description

Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.