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Revenue Integrity Analyst

extra holidays

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

United States

Offer summary

Qualifications:

Bachelor’s degree in Business or related field, 3 years of experience in Revenue Cycle, Experience with Ambulatory Payment Classification and billing, Proficient in complex Excel, Access, SQL.

Key responsabilities:

Manage charge description master file compliance
Create utilization management reports for leadership

Keystone Advisors LLC TPE https://keystoneadv.com/

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Job description

Keystone Advisors is looking for a Revenue Integrity Analyst to support one of our healthcare clients located in the Illinois Medical District in Chicago, IL.
This position is 100% Remote.
Job Summary

The Revenue Integrity Analyst manages several large data driven projects across the Cook County Health Physician Revenue Services and Hospitals System (CCHHS) Revenue Services. Responsible for ensuring that the charge description master file follows Cook County Health & Hospitals System (System) policy, appropriately reflects clinical practice, and is aligned with reporting requirements for government and major commercial third-party payers. Maintains systems associated with the revenue cycle across the network system.

Job Duties

Manages and monitors Siemens and Cerner Patient Accounting tables and profiles related to the CCH Charge Master (CDM) within the guidelines of Medicare, Medicaid or third-party payers to support revenue cycle for charge capture, coding, billing and cash collections.
Creates utilization management reports to share with leadership in various Revenue Cycle departments.
Evaluates and works on projects to automate current manual processes. Works with managers and end-users to automate processes between insurance carriers, vendors, and external partners.
Analyzes Revenue Cycle data and works directly with Revenue Cycle Leadership.
Utilizes appropriate reimbursement tools when establishing charges such as Ambulatory Payment Classification (APC), Fee Schedules, Medicare Addendum B, and the Medicare inpatient-only procedural listing.
Responds, documents, and implements enhancement requests received from Revenue Cycle Leaders across Cook County Health Physician Revenue Services and Hospitals System (CCHHS).
Performs other related duties as assigned.

Preferred Qualifications

Bachelor’s degree or higher from an accredited college or university in Business, Finance, Health Administration, or related field
Three (3) years of Revenue Cycle combined experience including CDM and charge billing within a large medical group, hospital and/or multiservice healthcare system. Prior experience with Ambulatory Payment Classification (APC), Fee Schedules, Medicare Addendum B, and the Medicare inpatient-only procedural listing.
Proficiency in the use of complex Excel and Access and/or simple SQL and Visual Basic.
Mathematical/analytical aptitude

Knowledge, Skills, Abilities and Other Characteristics

In-depth knowledge of healthcare revenue processes including patient access; charge capture; documentation and coding; billing account receivable; and cash collections. Subject matter expert.
In-depth knowledge of financial systems supported at CCHHS.
Ability and follow through to work with outside departments to improve charge capture.
Advanced project management skills and the ability to work with systems Development Life Cycle (SDLC).
Advanced analytical skills necessary to evaluate financial data and translate same into actionable information to drive results.
Excellent customer service skills with acceptable response times to phone calls, emails and customer requests.
Strong written and verbal communications skills necessary to communicate concepts in a clear and concise manner to a wide level of personnel.
Advanced skill in the use of Microsoft Word, Excel, Visio and other software and hardware packages.
Ability to work in a fast-paced environment and in stressful situations while meeting deadlines.
Ability to support/train less experienced personnel in the use of systems.
Ability to make sound judgments.
Ability to prioritize, plan, and organize projects and tasks.
Strong initiative.
Ability to work independently and as a part of a team.
Strong initiative.