Revenue Integrity Analyst Associate
Hennepin Healthcare•Minneapolis, MN
•Remote
About The Position
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 and establishing procedures to support above.
Requirements
- Post high school education
- At least 1 year of prior chargemaster, billing and/or coding experience
- An approved equivalent combination of education and experience
- Knowledge of CPT, HCPCS, and revenue codes
- Knowledge of medical terminology
- Must have strong attention to detail and enjoy 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)
Nice To Haves
- Bachelor’s degree in Business Administration, Health Care Administration, Nursing, Health Information Management or related healthcare concentration area
- Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) and/or Clinical Coding Specialist (CCS) or Certified Professional Coder (CPC)
- Epic experience preferred
Responsibilities
- Understands chargemaster setup and assists in the review and maintenance of the chargemaster
- Maintains basic knowledge of CPT/HCPCS coding and revenue codes
- Completes accurate and timely charge capture as necessary by reviewing clinical documentation and entering appropriate charges
- Audits billing process to ensure reasonableness and accuracy of information and charges. Distributes communication on charge-related issues to the proper department(s)
- Provides input to team and leadership regarding deficits in documentation which affect accurate charges
- Assists with account fixes and resolves incomplete charging information as appropriate
- Manages daily workqueues to resolve bill holds for charge-related issues and assists in the resolution of billing edits
- Assists in reporting findings from workqueues, including erroneous or missing charges and follow-up analysis
- Acts as first point of contact for clinical staff to assist with billing/charging questions and process improvement around charge capture. Educates staff to ensure coding and billing compliance and to reduce missed revenue opportunities
- Trains, monitors and supports charge reconciliation processes in clinical areas
- Assists in the development and implementation of recommendations and action plans to minimize late or missing charges
- Collaborates with other departments to identify/fix errors and improve denial rates for charges
- Performs other duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
