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Revenue Integrity Analyst
Location
Illinois
Posted
3 days ago
Salary
$29 - $45 / hour
Seniority
Senior
Job Description
Revenue Integrity Analyst
Northwestern Medicine
• Reflects the mission, vision, and values of Northwestern Medicine • Adheres to the organization's Code of Ethics and Corporate Compliance Program • Complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards • Work directly with the Revenue Integrity Senior Analyst to support the Clinical Department and revenue cycle and perform charge capture analysis including annual price increase analysis • Maintain the charge master to ensure compliance, accuracy, and consistency for Northwestern Medicine • Perform daily maintenance and quarterly audits of the EAP • Prepare necessary files for the EAP database of required department builds • Identify charge capture opportunities or compliance issues in revenue producing departments • Research billing and coding regulations • Communicate and assist in implement any necessary changes to impacted area that affect policy, financial, charge capture, patient care, billing, and coding operations • Assist in quarterly audits on the charge master data elements • Review departmental front-end charge capture tools for accuracy • Take necessary action to ensure accurate charging on patient accounts • Support complex audits and prepares methodology for annual pricing review and coding changes • Liaison with Revenue Cycle, IT and clinical departments to link EPIC and charge master • Consistently deliver concrete, relevant results • Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies • Protect operations by keeping financial and patient information confidential • Support the finance operations of Northwestern Medicine
Job Requirements
- Bachelors Degree in Business or related field or 10+ years of equivalent experience with progressive advancement.
- 3+ years of relevant experience
- Excellent communication, collaboration, analytical, and accounting skills
- High level of precision and attention to detail
- Expert knowledge of Microsoft Office Suite
- Moderate / Advanced understanding of CPT coding and third party billing requirements
- Knowledge and experience with Medicare/Medicaid regulations
Benefits
- tuition reimbursement
- loan forgiveness
- 401(k) matching
- lifecycle benefits
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