Revenue Integrity Analyst Associate

JOB DETAILS
Department: Revenue Integrity
FTE: 1.00 (80 hours per pay period)
Workdays: Monday - Friday
Shift(s): Days
Shift Length: 8 hours
Location: Remote*
*Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin.

Purpose of this position: Responsible for ensuring complete charge capture for services provided; including, but not limited to: daily charge reconciliation assistance, audits, data entry and missing charge follow-up, assisting with chargemaster maintenance and establishing procedures to support above.

RESPONSIBILITIES:

• Understands chargemaster setup and assists in the review and maintenance of the chargemaster
• Maintains basic knowledge of CPT/HCPCS coding and revenue codes
• Completes accurate and timely charge capture as necessary by reviewing clinical documentation and entering appropriate charges
• Audits billing process to ensure reasonableness and accuracy of information and charges. Distributes communication on charge-related issues to the proper department(s)
• Provides input to team and leadership regarding deficits in documentation which affect accurate charges
• Assists with account fixes and resolves incomplete charging information as appropriate
• Manages daily workqueues to resolve bill holds for charge-related issues and assists in the resolution of billing edits
• Assists in reporting findings from workqueues, including erroneous or missing charges and follow-up analysis
• Acts as first point of contact for clinical staff to assist with billing/charging questions and process improvement around charge capture. Educates staff to ensure coding and billing compliance and to reduce missed revenue opportunities
   
• Trains, monitors and supports charge reconciliation processes in clinical areas
• Assists in the development and implementation of recommendations and actions plans to minimize late or missing charges
• Collaborates with other departments to identify/fix errors and improve denial rates for charges
• Performs other duties as assigned

QUALIFICATIONS

Minimum Qualifications:

• Post high school education
• At least 1 year of prior chargemaster, billing and/or coding experience

-OR-

• An approved equivalent combination of education and experience

Preferred Qualifications:

• Bachelor’s degree in Business Administration, Health Care Administration, Nursing, Health Information Management or related healthcare concentration area
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) and/or Clinical Coding Specialist (CCS) or Certified Professional Coder (CPC)

Knowledge/ Skills/ Abilities:

• Knowledge of CPT, HCPCS, and revenue codes
• Knowledge of medical terminology
• Must have strong attention to detail and enjoy working in a fast paced, collaborative team-based environment
• Prioritization skills, PC skills, communication skills, and problem-solving skills
• Outstanding customer service skills
• Experience with Microsoft Office (Outlook, Word, Excel, PowerPoint, Access, Teams, OneNote)
• Epic experience preferred