Administrative Analyst - Revenue Integrity - FT Days

Position Summary

The Administrative Analyst supports Pharmacy NDC regulatory billing requirements and assists with the Pharmacy charge master maintenance. Responsibilities include managing system-generated charge exceptions, analyzing Pharmacy rate decks, and coordinating record retention pickups.

• Independently plan, organize, coordinate, and implement the format and download of relevant files including purchasing information.
• Coordinate with CDM Analyst for annual review and production requirements.
• Manage 100% of all system-generated charge exceptions under Revenue Audit's purview.
• Assist with analysis and assessment of Pharmacy rate deck for cost application, revenue, and charge capture accuracy.
• Produce high-quality management reports directly related to the analysis of Pharmacy charge trends across multiple GLs.
• Conduct billing audits to ensure 100% charge capture for hospital charges.
• Train and educate staff on service codes and billing practices.
• Maintain multiple databases and manage record retention pickups for multiple Revenue Audit sites.
• Support other administrative duties as assigned.

Required Qualifications

• Read and interpret governmental and commercial payor regulations and develop recommendations.
• Implement and evaluate automated processes and flows related to hospital charges.
• Work effectively with all levels of health system personnel, including directors and physicians.
• Write ad hoc technical reports, perform complex analyses, and convert data into different formats.
• Convert master files into reports for departmental use.
• Minimum of 2 years experience working with pharmacy charge practices and billing requirements.
• Knowledge of cost accounting principles.
• Knowledge of NDC Requirements as related to hospital practice.
• Knowledge of HIPAA.
• Knowledge of CPT, HCPCS, and revenue codes.
• Excellent oral and written communication skills.

Total Rewards

We offer a range of benefits including medical insurance, sick and vacation time, retirement savings plans, and access to discounts and perks. For more information, visit this link.

Conditions of Employment

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment
• Misconduct Disclosure Requirement

Details of each policy may be reviewed by visiting the following page: this link.