Revenue Integrity Analyst

University of Washington•Washington, DC

1d•$84,000 - $108,000•Remote

About The Position

The Revenue Integrity Analyst works under the general direction of the Director of Revenue Integrity and has primary responsibility for ongoing accuracy and integrity education. The role is part of UW Medicine’s administrative team responsible for Revenue Integrity initiatives across UW Medicine. It supports charge capture and reimbursement accuracy, revenue-cycle performance improvement, data quality, reporting, and education of billable providers and operational staff. The position is regular, 100% FTE, first shift, and 100% remote.

Requirements

Bachelor’s degree.
At least 6–8 years of experience in the healthcare industry.
A coding credential (CPC, COC, CCS, CCS-P, RHIT, or RHIA), or intent to obtain one within 12 months of hire.
Experience with ICD-10, HCPCS, and CPT codes.
Four years of Electronic Medical Records experience and a history of providing training to clinical operations and clinicians.
Knowledge and experience with Medicare/CMS, Medicaid, AMA, and payer regulations, including the ability to interpret healthcare coding guidelines for compliant application.
Understanding of front-end, mid-cycle, and back-end revenue-cycle processes.
Understanding of data analytics and methodology.
Skill in presenting complex concepts and data analysis to wide audiences, with verbal and written communication competence.

Responsibilities

Identify charge capture and reimbursement issues and resolutions using available mechanisms, including Epic, BOE SSRS reports, and Revenue Guardian.
Analyze and troubleshoot charge capture, missing-charge resolution, and denial mitigation.
Monitor revenue, usage, and Epic/EpicCare charging and billing data to assess performance and KPIs, and identify, report, and address patterns and trends.
Assist with and document development of operational procedures and processes related to charge capture.
Implement and maintain reports and work lists using applications such as Epic (Cogito), BOE, Visio, Microsoft Project, Microsoft Excel, and Microsoft Access.
Use knowledge of other applications and internal and external data sources to enhance information analysis, decision-making, and management reporting.
Collaborate with internal customers to assess information requirements and develop custom and production reports.
Maintain and continuously improve the quality and integrity of data used for decision-making; collaborate across the organization to promote consistent reporting and recommend data-quality improvements.
Develop and maintain reports and perform analyses to identify trends and provide feedback that improves Revenue Integrity and Enterprise Revenue Cycle performance.
Collaborate with HIM, Coding, the Epic Core Team, and Revenue Cycle teams to support performance-improvement opportunities.
Provide education and training to MDs, ARNPs, other billable providers, clinic managers, nurses, and others.