Okanogan County Public Hospital District #3-posted 3 months ago
$66,913 - $98,727/Yr
Full-time • Mid Level
Omak, WA
251-500 employees

This position contributes and supports Mid Valley Hospital’s mission to strengthen the interface between clinical departments and charge improvement process. This approach guides the organization toward achieving operational efficiency, regulatory compliance and accurate reimbursement. The Revenue Cycle Analyst II is responsible for organizing, analyzing, and presenting data in coordination with clinical and financial management staff to support proper charging practices for all hospital and physician departments, providing accurate, timely, and objective analysis at all times. In addition, this position oversees and maintains the hospital and physician charge master, including charge structure, charge coding, government regulations and compliance, pricing and rate structure. Included in these projects are ongoing and special financial analysis and support to Finance, Administrators, Directors and Managers throughout the facility, as well as other special projects as assigned. The Revenue Cycle Analyst II has extensive internal contact with members of all Clinical departments as well as Revenue Cycle and Finance and all levels of leadership throughout the organization. This position serves as the liaison between Mid Valley Hospital staff and the EHR vendor.

  • Maintains and ensures the overall integrity of the CDM (Charge Master) with a focus on accuracy, revenue cycle integrity, and compliance with payor requirements.
  • Responsible for the build of new CDMs on a timely basis.
  • Discover pricing and payor contracting opportunities to positively impact the bottom line.
  • Responsible for the compilation and distribution of the Daily Revenue Cycle Action Team (RCAT) report to assist in review of charges, correspond with managers/directors on any noted variances for further review.
  • Daily review of charges mapped to unaliased department(s) or account(s).
  • Lead and/or assist in charge audit review to ensure accurate charge capture and compliance with Payor contracts.
  • Create reports within the EHR and Clearinghouse for auditing purposes, dashboards, price transparency, claim edits, and other denial, payment, or adjustment analysis.
  • Actively participate in independent chart audits, assisting with review, appeals and addressing corrective action plans as applicable.
  • Facilitate Mid Valley Hospital’s bi-weekly Revenue Cycle Projects Meeting.
  • Plan, manage, and coordinate multiple assigned functional projects simultaneously.
  • Distribute suspended charges daily to the appropriate manager for review and correction.
  • Navigate and understand the EHR functionality as it pertains to Revenue Cycle and assist in troubleshooting issues.
  • Assist in the research of new service lines as it relates to new CPT codes, price, and billing requirements.
  • Collaborate with Director of Revenue Cycle to create, review and/or update policies and procedures which impact charge capture and pricing practices as needed.
  • Identify, report and participate in the resolution of any potential or actual revenue/charge related issues.
  • Work closely with outside vendors when applicable.
  • Work with the revenue producing departments to ensure ongoing coordination and consistency with the Charge master and Charge Capture processes.
  • Work with the Chief Financial Officer regarding annual Charge Master increases.
  • Work alongside the Director of Revenue Cycle and outside vendor to ensure compliance with the Price Transparency Rule.
  • Work with Revenue Cycle to identify/fix errors based on ICD/CPT/HCPCS coding guidelines.
  • Create Dashboards as requested by the Executive Leadership Team or KPIs initiated for tracking within the Revenue Cycle Team.
  • Create visual presentations of Revenue Cycle material and present to key stakeholders.
  • Demonstrates ability to handle multiple demands, shifting priorities and crisis.
  • Interact professionally with coworkers and customers at all times.
  • Perform quality work with deadlines and/or Key Performance Indicators (KPI)/Statistics with limited supervision.
  • Demonstrate Standards of Behavior and always adhere to the Code of Conduct in all aspects of job performance.
  • Other duties as assigned by the Chief Financial Officer.
  • Advanced level root-cause analysis.
  • Interviewing/listening skills required to enable talking with individuals and groups about current processes and issues.
  • Well-developed research skills.
  • Knowledge of Microsoft applications including Word, Excel, Outlook, and PowerPoint.
  • Excellent process improvement techniques and project management skills.
  • Capacity to manage time effectively, attention to detail, and follow through.
  • Comfort in presenting to and interacting with senior levels of hospital management and with physician leaders.
  • Advanced analytical skills to evaluate information gathered from multiple sources and synthesize into actionable information.
  • Advanced technical skills to quickly learn hospital information systems.
  • Bachelor's degree in a related field or equivalent combination of formal education and experience.
  • Three to five years minimum recent experience in healthcare auditing, charge capture, project management, revenue cycle management, patient accounting and/or physician billing.
  • Cerner Community Works experience.
  • Knowledge of Critical Access Hospital and/or Rural Health Center reimbursement methodology.
  • Accrued vacation time in the amount of .076923 vacation hours per hour worked.
  • Accrued sick leave at an accrual of .04615 per hour.
  • Life insurance and a profit-sharing plan.
  • Medical, dental and vision insurance plans.
  • Employees can enroll in a 403(b) deferred compensation plan and/or a 457 deferred compensation plan.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service