Revenue Integrity Analyst

About the role

The Revenue Integrity Analyst works 100% FTE weekdays remotely. They support all of UW Medicine entities including UW Medical Center, Harborview Medical Center, UW School of Medicine, Northwest Hospital, UW Neighborhood Clinics, and UW Physicians. The position focuses on ensuring the accuracy and integrity of charges across various service lines.

Responsibilities

• Assume accountability and monitor key metrics (annual charge utilization, monthly revenue, denials, late/missing charges, administrative write-offs, and utilization by book of business)
• Identify charge capture/reimbursement issues and resolutions using available mechanisms (Epic BOE SSRS reports, Revenue Guardian, etc.)
• Perform analysis and troubleshooting for charge capture/missing charge resolution and denial mitigation
• Implement and maintain reports and work lists using various software applications such as Epic (Cogito), BOE, Visio, Microsoft Project, Microsoft Excel, Microsoft Access
• Collaborate with internal customers to assess information requirements and develop special custom and production reports to meet those needs
• Develop and maintain reports and perform analysis to allow Revenue Integrity to identify trends and provide feedback to improve overall performance of Revenue Integrity Department and Enterprise Revenue Cycle

Requirements

• Knowledge and experience with Medicare/Medicaid and CMS regulations
• 4 years of Epic Experience
• Experience with ICD 10/HCPCS/CPT codes
• Coding credential CCS, COC, RHIT, RHIA or ability to obtain coding credentials within 12 months of hire
• At least 8+ years’ experience in the healthcare industry
• Understanding of hospital billing or reimbursement and charge capture operations
• Understanding of CMS regulations and ability to interpret healthcare guidelines and regulations

Qualifications

• 4 years of Epic experience
• Proven analytical, verbal, and written communications skills

Skills

Not specified

Benefits

Visit this link for information about benefits for this position.

Pay

Pay Range Minimum: $81,780.00 annual
Pay Range Maximum: $122,676.00 annual

Shift

First Shift (United States of America)

Position Details

This is a regular position (FTE 100.00%). Union/Bargaining Unit: Not Applicable