[Hiring] Revenue Integrity Analyst Associate @Hennepin Healthcare

Role Description

Responsible for ensuring complete charge capture for services provided; including, but not limited to:

• Daily charge reconciliation assistance
• Audits
• Data entry and missing charge follow-up
• Assisting with chargemaster maintenance
• Establishing procedures to support above

Responsibilities include:

• Understanding chargemaster setup and assisting in the review and maintenance of the chargemaster
• Maintaining basic knowledge of CPT/HCPCS coding and revenue codes
• Completing accurate and timely charge capture by reviewing clinical documentation and entering appropriate charges
• Auditing billing process to ensure reasonableness and accuracy of information and charges
• Distributing communication on charge-related issues to the proper department(s)
• Providing input to team and leadership regarding deficits in documentation affecting accurate charges
• Assisting with account fixes and resolving incomplete charging information as appropriate
• Managing daily workqueues to resolve bill holds for charge-related issues and assisting in the resolution of billing edits
• Assisting in reporting findings from workqueues, including erroneous or missing charges and follow-up analysis
• Acting as first point of contact for clinical staff to assist with billing/charging questions and process improvement around charge capture
• Educating staff to ensure coding and billing compliance and to reduce missed revenue opportunities
• Training, monitoring, and supporting charge reconciliation processes in clinical areas
• Assisting in the development and implementation of recommendations and action plans to minimize late or missing charges
• Collaborating with other departments to identify/fix errors and improve denial rates for charges
• Performing other duties as assigned

Qualifications

• Post high school education
• At least 1 year of prior chargemaster, billing and/or coding experience -OR- An approved equivalent combination of education and experience
• Bachelor’s degree in Business Administration, Health Care Administration, Nursing, Health Information Management or related healthcare concentration area (Preferred)
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) and/or Clinical Coding Specialist (CCS) or Certified Professional Coder (CPC) (Preferred)

Requirements

• Knowledge of CPT, HCPCS, and revenue codes
• Knowledge of medical terminology
• Strong attention to detail and enjoyment of working in a fast-paced, collaborative team-based environment
• Prioritization skills, PC skills, communication skills, and problem-solving skills
• Outstanding customer service skills
• Experience with Microsoft Office (Outlook, Word, Excel, PowerPoint, Access, Teams, OneNote)
• Epic experience preferred