SUMMARY We are currently seeking a Revenue Integrity Analyst to join our Revenue Integrity team. This full-time role will primarily work remotely. Purpose of this position: Maintains HHS charge master while preventing, identifying and monitoring for revenue leakage. Ensures compliance with state, local and federal regulations. Provides charging workflow support, education and feedback to clinical leaders and ancillary staff. Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin RESPONSIBILITIES - Understand charge master set up and ensures maintenance requirements are met - Understand and communicate processes for accurate, compliant charge capture and documentation requirements for appropriate billing - Maintain extensive knowledge of ICD-10-CM, CPT/HCPCs procedure coding and revenue codes along with UB-04 and 1500 billing requirements - Monitors federal, state and local regulations and alerts appropriate stakeholders to changes - Conducts annual cost center quality reviews leveraging reporting tools to evaluate for charge capture gaps as well as the appropriateness of services billed based on supporting documentation, procedural (CPT/HCPCS) codes selected and appropriateness of modifier usage to identify potential opportunities for revenue capture and recognize areas of compliance concern - Develops and executes departmental review projects with measurable financial and/or compliance goals per analysis findings - Rolls out regular updates of CPT/HCPCS and regulatory changes which includes identifying codes that have been deleted, added, or replaced and ensuring the appropriate system changes are made, supporting education presented, and proper communication is provided to all impacted stakeholders - Work in collaboration with clinical areas, EHR, informatics, compliance, contracting, and other revenue cycle partners to ensure Revenue Integrity - Monitor for and identify regulatory and/or reimbursement issues resolving them at root cause in an expedient and proactive manner - Assists with onboarding and serves as an educational resource to revenue cycle, clinical leadership, MA’s, RN’s and other clinical staff regarding coding and billing trends and related quality metrics - Trains, monitors and supports charge capture reconciliation processes in clinical areas - Provide continuous quality control through work queue monitoring, variance checks, analysis, troubleshooting and detailed research - Organizes, analyzes and presents data for the purpose of supporting clinical leadership, and other stakeholders throughout the organization to outline and institute strategies for improvement - Other duties as assigned QUALIFICATIONS Minimum Qualifications - Bachelor s degree in Business Administration, Health Care Administration or related area -PLUS- - 2 years of experience in health care reimbursement, financial management or coding -OR- - An approved equivalent combination of education and experience Preferred Qualifications - Minimum of three years’ experience in directly related field - Epic Certification in HB Resolute, CDM and/or and PB Resolute - RN - RHIA, RHIT - CCS, CPC - CRIP Knowledge/ Skills/ Abilities - Knowledge of all third-party requirements, state and federal regulations - Knowledge of government and commercial payer requirements for accurate and compliant healthcare charging and billing - Extensive knowledge of CPT, HCPCs, and revenue codes - Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting) - Knowledge of regulatory publications, how to access and interpret - Strong analytical and problem-solving skills - Able to present to both small and large (up to 100) groups - Initiate judgment, make decisions and work autonomously and remain adaptable - Consistently demonstrate strong verbal and written communication skills at all times - Ability to create strong collaborative relationships along with solid problem solving and conflict resolution skills - Analytical and critical thinking skills

SUMMARY We are currently seeking a Revenue Integrity Analyst to join our Revenue Integrity team. This full-time role will primarily work remotely. Purpose of this position: Maintains HHS charge master while preventing, identifying and monitoring for revenue leakage. Ensures compliance with state, local and federal regulations. Provides charging workflow support, education and feedback to clinical leaders and ancillary staff. Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin RESPONSIBILITIES - Understand charge master set up and ensures maintenance requirements are met - Understand and communicate processes for accurate, compliant charge capture and documentation requirements for appropriate billing - Maintain extensive knowledge of ICD-10-CM, CPT/HCPCs procedure coding and revenue codes along with UB-04 and 1500 billing requirements - Monitors federal, state and local regulations and alerts appropriate stakeholders to changes - Conducts annual cost center quality reviews leveraging reporting tools to evaluate for charge capture gaps as well as the appropriateness of services billed based on supporting documentation, procedural (CPT/HCPCS) codes selected and appropriateness of modifier usage to identify potential opportunities for revenue capture and recognize areas of compliance concern - Develops and executes departmental review projects with measurable financial and/or compliance goals per analysis findings - Rolls out regular updates of CPT/HCPCS and regulatory changes which includes identifying codes that have been deleted, added, or replaced and ensuring the appropriate system changes are made, supporting education presented, and proper communication is provided to all impacted stakeholders - Work in collaboration with clinical areas, EHR, informatics, compliance, contracting, and other revenue cycle partners to ensure Revenue Integrity - Monitor for and identify regulatory and/or reimbursement issues resolving them at root cause in an expedient and proactive manner - Assists with onboarding and serves as an educational resource to revenue cycle, clinical leadership, MA’s, RN’s and other clinical staff regarding coding and billing trends and related quality metrics - Trains, monitors and supports charge capture reconciliation processes in clinical areas - Provide continuous quality control through work queue monitoring, variance checks, analysis, troubleshooting and detailed research - Organizes, analyzes and presents data for the purpose of supporting clinical leadership, and other stakeholders throughout the organization to outline and institute strategies for improvement - Other duties as assigned QUALIFICATIONS Minimum Qualifications - Bachelor s degree in Business Administration, Health Care Administration or related area -PLUS- - 2 years of experience in health care reimbursement, financial management or coding -OR- - An approved equivalent combination of education and experience Preferred Qualifications - Minimum of three years’ experience in directly related field - Epic Certification in HB Resolute, CDM and/or and PB Resolute - RN - RHIA, RHIT - CCS, CPC - CRIP Knowledge/ Skills/ Abilities - Knowledge of all third-party requirements, state and federal regulations - Knowledge of government and commercial payer requirements for accurate and compliant healthcare charging and billing - Extensive knowledge of CPT, HCPCs, and revenue codes - Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting) - Knowledge of regulatory publications, how to access and interpret - Strong analytical and problem-solving skills - Able to present to both small and large (up to 100) groups - Initiate judgment, make decisions and work autonomously and remain adaptable - Consistently demonstrate strong verbal and written communication skills at all times - Ability to create strong collaborative relationships along with solid problem solving and conflict resolution skills - Analytical and critical thinking skills

• Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare • Act as an advocate for access projects across the system, identifying barriers to achieving operational excellence • Coordinate and implement change requests to the enterprise-wide EPIC systems to provide the best possible access process as well as integrate new physician practices into front end EPIC Systems • Manage physician practice integration into front-end EPIC systems including discovery, design, testing, implementation and optimization • Analyze the impact to operational workflows, determine if requests are viable, and ensure requested changes conform to the Institute design • Lead internal communication to ensure EPIC design and build standardization while continuously improving access • Maintain the ongoing service relationship between the IT department and its direct application customer • Lead change requests and analyze all possible impacts that will result from the requested change • Verify Institute gatekeeper change approval and validate requested changes in production • Verify accuracy of questionnaire and/or decision tree flow after implemented change • Lead EPIC testing and validation efforts • Assess priority of requests based on urgency of need, time requirements, project constraints, user efficiency and training needs • Make recommendations of best practices while proactively seeking new system functionality and technology • Work through complete project cycle from project identification through implementation • Analyze flow processes and recommend ways to reduce steps and increase efficiency using technology • Plan, schedule, and manage multiple projects

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $56,243.20 - $101,254.40Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8:00 am - 4:30 pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5960 Ambulatory This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for implementing and supporting clinical and business applications and collaborating closely with operational stakeholders to ensure that technical solutions effectively align with business processes. I. Major Responsibilities: Project and Team Deliverables: 1. Works on cross-functional projects, attends project meetings, and ensures tasks are completed within the project scope and management guidelines. 2. Proactively identifies barriers to completing work and escalates issues as needed. 3. Attends all required meetings, assumes accountability for assigned follow-ups and practices closed loop communication. Product Evaluation and Application Support: 1. Attends product demonstrations and assess system functionality against customer requirements. 2. Participates in application upgrade processes, including reviewing and configuring new functionalities, testing features, and developing job aids for users. Collaboration and Configuration: 1. Collaborates with subject matter experts, caregivers, and vendors to evaluate and configure application features. 2. Configures application features, security settings, and develop support documentation, including test scripts and workflow diagrams. Technical Troubleshooting: 1. Investigates and resolves issues related to application, system configuration, and security setup. 2. Participates in ticket triage and analysis to determine the appropriate work stream and assist in scoping efforts. 3. Troubleshoots application components within server configurations, including system services and interface jobs. 4. Works with third-party vendors to install, configure, and troubleshoot vendor software. 5. Effectively participates in critical incident response and escalate appropriately as needed. Documentation and Training: 1. Develops support documentation for application teams, including test scripts, workflow diagrams, and knowledge base articles. 2. Partners with the training team to create end-user training materials. Continuous Learning: 1. Actively learns and applies new skills to improve support for customers and coworkers. 2. Stays current with core application certifications, system development, and emerging trends in information systems technology. 3. Actively participates in professional development programs defined by department. Adaptability: 1. Demonstrates adaptability to dynamic responsibilities and evolving project requirements. Must be able to work off hours as needed and participate in an on-call rotation. II. Position Qualifications: License/Certification/Education: Required: 1. Bachelor's degree in Computer Science or related field, or equivalent work experience. 2. Epic/Workday/Application certification(s) or ability to achieve, as required by department. Experience/Skills: Required: 1. Team player with strong problem solving, time management and decision-making skills, ability to maintain a positive attitude, solution focused. 2. Able to effectively communicate to staff at all levels of the organization. Preferred 1. Experience with enterprise platforms (EHRs/ITSM/ERPs). 2. Healthcare experience. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.