Full-Time Revenue Integrity Analyst

Revenue Integrity Analyst reflects the mission, vision, and values of Northwestern Medicine. Adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines, regulatory, and accreditation standards.

Works directly with the Revenue Integrity Senior Analyst to support the Clinical Department and revenue cycle. Performs charge capture analysis (including annual price increase analysis). Responsible for maintaining the charge master to ensure compliance, accuracy, and consistency for Northwestern Medicine.

1. Daily maintenance and quarterly audits of the EAP
2. Prepare necessary files for the EAP database
3. Identify charge capture opportunities or compliance issues
4. Research billing and coding regulations, and implement necessary changes
5. Assist in quarterly audits on the charge master
6. Review departmental charge capture tools for accuracy
7. Support complex audits and prepare methodology for annual pricing review and coding changes
8. Liaison with Revenue Cycle, IT, and clinical departments to link EPIC and charge master
9. Support finance, operations, and revenue cycle teams through special projects
10. Maintain professional and technical knowledge through workshops, publications, networks, and professional societies
11. Keep financial and patient information confidential

Project Management and Data Analytics Responsibilities

• Work collaboratively with project executive sponsor and teams to achieve goals
• Recognize and recommend mitigation/remediation strategies for risks, issues, and problems
• Apply facilitation skills to project meetings
• Assist in developing detailed plans to monitor and validate project goals
• Assist with project files and documentation (work plans, status reports, issue logs, resource plans)
• Meet financial objectives by identifying and evaluating trends, analyzing variances, and initiating corrective actions
• Prepare reconciliations, analyze variances, and initiate corrective actions on complex transactions
• Provide support and analysis by querying data, preparing reports, and presenting analysis to management
• Increase productivity by developing automated processes and coordinating information requirements

Required

• Bachelor's Degree in Business or related field or 10+ years of equivalent experience with progressive advancement
• 3+ years of relevant experience
• Excellent communication, collaboration, analytical, and accounting skills
• High level of precision and attention to detail
• Expert knowledge of Microsoft Office Suite
• Moderate/Advanced understanding of CPT coding and third-party billing requirements
• Knowledge and experience with Medicare/Medicaid regulations

Preferred

• Healthcare finance experience
• EPIC Certification (Resolute Charge Capture)
• RHIA or related health care credential (e.g. Radiology technician, RN)

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