Role Description
Under the general direction of the Director of Revenue Integrity, the Revenue Integrity Analyst has primary responsibility for the ongoing accuracy and integrity education.
Primary Job Responsibilities
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Identify charge capture/reimbursement issues and resolutions using available mechanisms (Epic, BOE SSRS reports, Revenue Guardian, etc.)
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Perform analysis and troubleshooting for charge capture / missing charge resolution and denial mitigation.
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Monitor revenue, usage, and Epic / EpicCare charging / billing data to monitor performance (i.e., KPIs); identify, report, and rectify patterns and trends.
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Assist with and document the development of new operational procedures / processes related to Charge Capture.
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Implement and maintain reports and work lists using various software applications such as Epic (Cogito), BOE, Visio, Microsoft Project, Microsoft Excel, Microsoft Access.
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Use knowledge of other applications and sources of data both within and outside the organization to enhance information analysis, decision making, and management reporting.
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Collaborate with internal customers to assess information requirements and develop special custom and production reports to meet those needs.
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Uphold maintenance and continuous improvement of the quality and integrity of data collected for decision-making and collaborate with other areas of the organization to ensure consistent reporting of information.
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Analyze and make recommendations for improved data quality.
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Develop and maintain reports and perform analysis that allows Revenue Integrity to identify trends and provide feedback to help improve overall performance of Revenue Integrity Department and Enterprise Revenue Cycle.
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Collaborate with HIM, Coding, Epic Core Team, and Revenue Cycle teams to support performance improvement opportunities.
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Education and training of MDs, ARNPs and other billable providers, clinic managers, nurses, and more.
Qualifications
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Bachelor’s degree
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At least 6-8 years’ experience in the healthcare industry
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Coding credential (CPC, COC, CCS, CCS-P, RHIT, or RHIA) or the intention to obtain one within 12 months of hire
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Experience with ICD-10/ HCPCS/ CPT codes
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4 years of Electronic Medical Records experience and history of providing training to clinical operations and clinicians
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Knowledge and experience with Medicare/CMS, Medicaid, AMA, and payor regulations with the ability to interpret healthcare coding guidelines for compliant application
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Understanding of front-end, mid-cycle, and back-end revenue cycle processes
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Understanding of data analytics and methodology
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Skilled in presenting complex concepts and data analysis to wide audiences; competence in both verbal and written communications
Requirements
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Pay Range Minimum: $84,000.00 annual
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Pay Range Maximum: $108,000.00 annual
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Shift: First Shift (United States of America)
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Temporary or Regular: This is a regular position
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FTE (Full-Time Equivalent): 100.00%
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Union/Bargaining Unit: Not Applicable
Benefits
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For information about benefits for this position, visit
this link
.
Company Description
UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists, and other health professionals.
All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student, and colleague is valued and honored.
Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.