Revenue Integrity Quality Assurance Analyst

Ensemble Health Partners•Work at Home - Ohio - Other, OH

1d•Remote

About The Position

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. This position pays between $51,700- $99,000 based on experience. The Revenue Integrity Quality Assurance Analyst supports the operations of the Revenue Integrity team by completing both overall and account-level quality reviews for domestic and global Revenue Integrity in accordance with policies and procedures. Quality audits are inclusive of assessing staff adherence to Revenue Cycle policies, procedures and guidelines established by Revenue Integrity.

Requirements

3-5 years of previous experience in a similar area
Bachelors degree, or equivalent experience
CRCR Certification, or willingness to obtain within 9 months of hire
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Responsibilities

Completes timely and accurate quality audit reviews while adhering to Revenue Cycle policies and procedures.
Performs evaluations in an unbiased and consistent manner.
Document quality assurance findings and trends to leadership.
Validates productivity measurements and provides continuous monitoring of the efficacy of the production standards.
Maintains/Update quality scorecards.
Conducts extensive root cause analysis to determine key issues and translates quality auditing results into actionable recommendations for improvement, relays findings and recommended action plan.
Perform root cause analysis to understand key issues and operational risks to help drive targeted improvements across Revenue Integrity.
Performs process, operational and system workflow monitoring/reviews to ensure that efficient, work processes are being executed.
Stay up-to-date with industry trends, emerging technologies, and regulatory changes affecting healthcare revenue cycle management and proactively share knowledge with the team.
Collaborates with educators in assessing areas of improvement based on quality review results and trending.
Provide recommendations for training needs, tool and materials.
Evaluation of current processes and tools and propose changes in order to drive efficiencies within Revenue Cycle.
Coordinate operational objectives by contributing information and recommendations to strategic plans and reviews; preparing and completing action plans.
This position will be proactive in auditing and reconciling each analysts own data findings, report results in order to maintain improve the quality and integrity data provided by the analyst.