You haven't searched anything yet.
Salary: Negotiable :USD
Location: Chicago, IL
Hospital: RUSH University Medical Center
Department: Revenue Cycle Revenue Integrit
Work Type: Full Time (Total FTE between 0.9 and 1.0)
Shift: Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)
Summary: The Revenue Integrity Analyst uses advanced knowledge of coding, CDM, charge capture, and auditing to solve complex charging scenarios, provide education and assistance to operational departments, support fellow team members, and develop processes/procedures to ensure accurate and timely capture of all chargeable procedures. The Revenue Integrity Analyst also provides high-level professional support in working advanced outpatient coding edits as well as auditing charges for service lines with potential missed revenue opportunities. The individual who holds this position exemplifies the Rush mission, vision, and values and acts in accordance with Rush policies and procedures.
Responsibilities: Job Responsibilities: Use logic-based critical thinking and decision making to accurately enter charges on patient accounts for hospital/facility and professional charges in accordance with CMS and AMA guidelines Responsible for accounts within the assigned Epic Account, Charge Review, and Claim Edit Work queues while solving edits related to National Correct Coding Initiatives (NCCI edits), Medically Unlikely Edits (MUE edits) Procedure to Procedure (PTP edits), and Outpatient Coding Edits (OCE edits) in Epic using patient documentation, coding rules, billing guidelines, and proper modifier use in a timely manner Assess the Charge Description Master (CDM) and contribute to accurate CDM line items by evaluating revenue codes, descriptions, CPT/HCPCS code and pricing Audit and reconcile charges against clinical documentation, code rules and charging methodologies for internal purposes along with external audits Works with external vendors to review charge capture opportunities and documentation to identify missed charges and correct accounts Identify trends, analyze to propose and create meaningful solutions, improve processes, create training content, and participate in the education of departments regarding their CDM and missed charges Serves as subject matter expert for fellow team members to review questions and assist with resolving accounts Meets or exceeds accuracy, quality work, on-time delivery, and productivity standards set by CMS, OIG, and direct manager Researches all current and future complex payor requirements for compliant billing, timely payment, and maximum reimbursement Provides input and implements process improvement initiatives recognizing revenue enhancement and charge integrity opportunities Communicates, observes, and reports on charge entry trends and patterns and provides recommendations for improvement Engages in continual education and training in the revenue integrity field and healthcare CDM, charges, auditing, data, and other duties or projects as assigned
Other information: Required Job Qualifications: Associates degree or higher Minimum 2-4 years of healthcare experience working with billing, charge entry, charge capture, or CDM AAPC or AHIMA certification Proficient and functional knowledge of reviewing charges in the Epic EHR. Advanced knowledge of medical terminology as well as medical billing language. Must demonstrate a thorough knowledge of UB-04 Revenue Codes, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Level II along with modifiers Excellent written and oral communication skills along with problem-solving Proficiency with MS Office Suite High degree of accuracy and ability to collaborate with others Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Full Time
Professional Associations
$65k-83k (estimate)
05/20/2023
04/30/2024
rush-health.com
CHICAGO, IL
7,500 - 15,000
1994
BRENT J ESTES
$5M - $10M
Professional Associations
The job skills required for Revenue Integrity Analyst include Billing, Integrity, CPT, Initiative, Pricing, Medical Billing, etc. Having related job skills and expertise will give you an advantage when applying to be a Revenue Integrity Analyst. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Revenue Integrity Analyst. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Revenue Integrity Analyst positions, which can be used as a reference in future career path planning. As a Revenue Integrity Analyst, it can be promoted into senior positions as a Revenue Cycle Reporting Analyst that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Revenue Integrity Analyst. You can explore the career advancement for a Revenue Integrity Analyst below and select your interested title to get hiring information.