Revenue Integrity Analyst I, Hybrid

University of Maryland Medical System•Linthicum Heights, MD

1d•Hybrid

About The Position

Under direct supervision, the Revenue Integrity Analyst I identifies charge capture improvement opportunities and works collaboratively with Revenue Integrity team members to support annual Revenue Cycle initiatives and priorities. The analyst develops subject matter knowledge in HSCRC and clinical service lines and works with clinical department managers and staff to ensure process changes are understood and charge capture processes produce expected outcomes. The role serves as a conduit between clinical departments and Revenue Integrity, facilitating standardized processes and supporting efficient, effective charge capture outcomes. The analyst updates charge master files and charge capture tools, supports work queue and charge issue resolution, documents business operations and workflows, and prepares reports and audit findings under guidance. The role also assists with system and process setup for new services and prepares CDM Epic build changes for assigned service lines. This is a hybrid position requiring onsite work several days each week.

Requirements

Bachelor’s degree in healthcare, Finance, Accounting, or an equivalent related subject.
Obtain Epic CDM Proficiency certification within 12 months of hire and maintain Epic new version training requirements on an ongoing basis.
Proficiency in preparing and analyzing financial data and implementing changes.
Effective time-management skills.
Effective interpersonal skills to build collaborative relationships with team members and customers.
Strong organizational and problem-solving skills.
Effective verbal and written communication skills.
Effective computer skills, including MS Excel, MS Word, and PowerPoint.
Ability to handle confidential issues with integrity and discretion.
Ability to work effectively in a fast-paced work environment.

Nice To Haves

Recent college graduates are encouraged to apply.

Responsibilities

Update charge master files, including HSCRC price changes, as directed; research HSCRC and/or CMS inquiries; and complete assigned tasks for HSCRC RVU taskforce conversion meetings.
Attend cross-functional meetings with more senior analysts to understand required changes to ancillary and application charge capture tools; update tools and perform routine integrity checks using detailed directions and documented processes.
Ensure departmental communications are distributed to all stakeholders.
Develop basic knowledge of organizational charge processes and provide oversight to clinical informatics staff and application analysts assisting managers and directors with compliant charge capture workflows and tool updates.
Review work queue lists daily and contact appropriate owners to ensure held charges are addressed promptly; assist with account resolution, erroneous or missing charges, and research into coding, documentation, and coding guidance.
Investigate charging issues and suggest possible solutions for charge capture problems.
Collect and document business operations and workflows for CDM discovery sessions, summarize findings, and assist in completing required CDM documentation.
May observe hospital and HSCRC meetings and understand CDM-related pricing decisions, CDM concepts, HSCRC methodology, and applicable reimbursement concepts for specific service lines.
Prepare revenue-related reports from multiple sources and Epic workbench reports under guidance to support hospital operations.
Run reports in support of audits under guidance and clearly summarize results and findings.
Assist with system and process setup for new services by conducting discovery, build, and testing during sessions facilitated by Revenue Cycle and IS&T leadership for assigned service lines.
Prepare CDM Epic build changes for assigned service lines under direct guidance.