Revenue Integrity Analyst

Altru Health System•Grand Forks, ND

3d•Onsite

About The Position

The Revenue Integrity Analyst reconciles the accounts receivable ledger to ensure that all payments are accounted for and properly posted. The Analyst is responsible for coordinating, implementing, and maintaining the Epic Charge Description Master (CDM) initiatives and processes with a focus on accuracy, revenue cycle integrity, and compliance with third-party payer requirements. This position assists revenue producing departments with charge capture, charge reconciliation, billing and compliance issues in accordance with regulations. The Revenue Integrity Analyst helps to ensure optimal cash flow through the resolution of assigned billing and error work queues.

Requirements

Associates - Healthcare- OR -Associates - Related Field
A minimum of 3 years Related Experience
Proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Epic certification and competency.

Responsibilities

Coordinates, implements, and maintains the EPIC Charge Description Master for AHS and Community Connect partners ensuring compliance with payer regulations and guidelines.
Builds awareness and knowledge base of third party payment systems, government regulations, billing issues, registration issues, and coding and regulatory requirements.
Stays apprised of payer billing rules and regulations to ensure compliance.
Balances accounts receivable and analyses the supporting documents.
Provides end-of-month reports and spreadsheet data to the Financial Management Analysts for accurate general ledger entries.
Responds to revenue audit requests from patients, physicians, insurance carriers, third party auditors and hospital departments or their authorized representative.
Audits revenue producing departments enabling substantiation of transactions on patient’s bills.
Researches data anomalies and completes follow up to verify corrections are made.
Audits Cost Center Reports for proper revenue recognition.
Reviews Epic WQs, conducts research needed to resolve the account issues and makes changes/corrections to patients’ accounts, CDM, fee schedules and/or other billing mechanisms.
Works with tech support to implement changes in build to support correct charging.
Researches and resolves CPT code, revenue code and other issues identified by other departments.
Identifies needs and sets goals for own growth and development.
Meets all mandatory organizational and department requirements including Epic certification and competency.
Reviews and validates the master price list of all services, devices and medications charged for inpatients and outpatients.
Performs other duties as assigned or needed to meet the needs of the department/organization.