Talent.com
No longer accepting applications
Revenue Integrity Charge Description Master Analyst

Revenue Integrity Charge Description Master Analyst

Minnesota StaffingSaint Paul, MN, US
10 days ago
Job type
  • Full-time
Job description

Revenue Integrity Charge Description Master Analyst

Fairview is looking for a Revenue Integrity Charge Description Master Analyst to join our team. The Revenue Integrity Charge Description Master Analyst serves as a liaison between organizational leadership, end-users, project team members, Revenue Cycle, and other internal or external resources with the objective to achieve operational efficiency, compliance, and legitimate reimbursement. Analysts are responsible for analysis and maintenance of the charge description master (CDM) file in the Epic EHR system to ensure compliance with CPT / HCPC coding, National Uniform Billing Committee (NUBC), revenue code, billing, payor, and regulatory requirements. This role makes recommendations on structural requirements, charge mechanisms and reimbursement implications for billing within the Epic EHR system. The Analyst also evaluates users interacting with the EHR system and associated softwares to identify education or system enhancement opportunities that support operational excellence and efficiency. This role performs application analysis concepts, including evaluation of current state against desired future state with consideration to policy, compliance, evidence, quality, operational standardization, and workflow implications to monitor for, identify, and prevent revenue leakage.

Position Details :

  • 1.0 FTE (80 hours per pay period)
  • Day shift
  • No weekends
  • Fully remote, salaried position

Responsibilities :

  • Performs in-depth analysis of charging workflows and other technical issues associated with Epic charging systems and applicable software.
  • Defines and co-develops business requirements that allow for optimization of the system to enhance operational workflows.
  • Understands and contributes to the process or enablement of collecting expected payment by ensuring accurate and compliant charge capture, coding and documentation outcomes.
  • Supports the creation of educational materials for staff and process improvement needs.
  • Researches and interprets CPT / HCPC coding and billing regulatory requirements to recommend and develop compliant solutions for CDM set up.
  • Completes timely and accurate updates to the CDM that contribute to generating clean claims, enabling the collection of expected payments.
  • Participates in ongoing coordination with revenue producing departments to ensure the accuracy of all CDM data elements and assists with resolution of CDM related revenue issues.
  • Conducts service line quality reviews leveraging reporting tools by evaluating process, functional and / or revenue gaps to determine resolution.
  • Investigate, compiles, analyzes, accurately interprets, and validates data.
  • Summarizes findings and opportunities identified in the data to support leadership decision making and executes corrective projects as needed.
  • Develops, manages, trains, monitors and supports reconciliation processes.
  • Provides continuous quality control and process improvement through work queue monitoring, variance checks, analysis, troubleshooting and detailed research.
  • Develops, designs, and maintains visuals and / or reports.
  • Acts as a point of contact / subject matter expert for charge application process and maintains a strong understanding of system functionality, software applications, and business workflow and objectives to appropriately interpret data and support leadership decision making.
  • Maintains extensive knowledge of ICD-10-CM, CPT / HCPCs procedure coding and supports regular updates of CPT / HCPCS and regulatory changes, including the identification of codes that have been deleted, added, or replaced. Ensures that the appropriate system changes, supporting education, and proper communication is completed.
  • Tests, identifies new conditions to test, and analyzes results of testing of new workflows and system functionalities to safeguard charging and revenue integrity.
  • Outlines requirements for new analytic tools including necessary fields, appropriate calculations, data definitions, and integration points.
  • Researches, documents, and facilitates resolution to charging issues reported by end-users.
  • Develops and maintains relationships with key partners to explore and develop potential solutions to systematic issues, ensuring revenue integrity.
  • Applies critical thinking knowledge to core functions to take action and ensure escalation of system problems and operational needs.
  • Upholds timely and accurate work.
  • Understands and adheres to Revenue Cycle's Escalation Policy.
  • Initiates judgment, makes decisions, and works autonomously under a minimal amount of supervision.
  • Maintains knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting).
  • Organization Expectations, as applicable :

  • Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.
  • Partners with patient care giver in care / decision making.
  • Communicates in a respective manner.
  • Ensures a safe, secure environment.
  • Individualizes plan of care to meet patient needs.
  • Modifies clinical interventions based on population served.
  • Provides patient education based on as assessment of learning needs of patient / care giver.
  • Fulfills all organizational requirements.
  • Completes all required learning relevant to the role.
  • Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards.
  • Fosters a culture of improvement, efficiency and innovative thinking.
  • Performs other duties as assigned.
  • Required Qualifications :

  • B.S. / B.A. in applicable field. Four (4) years of applicable experience may substitute for a Bachelor's degree.
  • 3 years of applicable Revenue Cycle experience
  • Epic Resolute Certification(s) in one or more of the following Epic applications within 1 year :
  • Resolute Hospital Billing Charging
  • Resolute Professional Billing Claims
  • Resolute Hospital Billing Claims
  • Resolute Professional Billing Charging
  • Preferred Qualifications :

  • B.S. / B.A. in Business Administration, Health Care Administration, or applicable healthcare field.
  • 5 years of applicable Revenue Cycle experience
  • Registered Health Info Tech or Registered Health Info Admin or CHRI, or Certified Coding Specialist or CPC
  • Epic Certification in Resolute Professional Billing or Epic Resolute Hospital Billing Charging
  • Benefit Overview :

    Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information.

    Compensation Disclaimer :

    The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

    EEO Statement :

    EEO / Vet / Disabled : All qualified applicants will receive consideration without regard to any lawfully protected status.

    Create a job alert for this search

    Revenue Integrity Analyst • Saint Paul, MN, US

    Related jobs
    • Promoted
    Share Your Thoughts, Pocket Some Cash : Join Opinion Outpost's Survey Opportunities!

    Share Your Thoughts, Pocket Some Cash : Join Opinion Outpost's Survey Opportunities!

    DynataFarmington, MN, US
    Full-time
    Ready to turn your opinions into cash? Explore the world of remote paid online survey gigs with Opinion Outpost!.It's as simple as sharing your thoughts from the comfort of your own home and watchi...Show moreLast updated: 4 days ago
    • Promoted
    Board Certified Behavioral Analyst

    Board Certified Behavioral Analyst

    Action Behavior CentersFarmington, MN, US
    Full-time
    APPLICATIONS ARE REVIEWED DAILY.YOU CAN EXPECT A RESPONSE WITHIN 24 HOURS.Our Patients : An intentional focus on small caseloads with a compassionate care approach. Our Culture : ABC Core Values are m...Show moreLast updated: 4 days ago
    • Promoted
    Share Your Opinions. Earn Rewards.

    Share Your Opinions. Earn Rewards.

    Opinion EdgeCottage Grove, MN, US
    Full-time
    Join Opinion Edge today and get paid for your insights! Take short surveys on the topics that matter to you and earn rewards for every completed survey. Sign up now and start turning your voice into...Show moreLast updated: 4 days ago
    • Promoted
    Remote Opinion Contributor

    Remote Opinion Contributor

    Prime InsightsCottage Grove, MN, US
    Remote
    Full-time
    Join thousands of members already earning with top-paying surveys and offers.Get started today and enjoy competitive rewards, fast payouts with no waiting periods, and the flexibility to participat...Show moreLast updated: 4 days ago
    • Promoted
    Customs and Border Protection Officer

    Customs and Border Protection Officer

    U.S. Customs and Border ProtectionMarine On Saint Croix, Minnesota, US
    Full-time +1
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Revenue Integrity Charge Description Master Analyst

    Revenue Integrity Charge Description Master Analyst

    FairviewSaint Paul, MN, US
    Full-time
    Revenue Integrity Charge Description Master Analyst.Fairview is looking for a Revenue Integrity Charge Description Master Analyst to join our team. The Revenue Integrity Charge Description Master An...Show moreLast updated: 16 hours ago
    • Promoted
    PT Teller - Coon Rapids, MN

    PT Teller - Coon Rapids, MN

    Affinity Plus Federal Credit UnionCoon Rapids, MN, United States
    Full-time
    Great service starts with great employees and that is why we focus on providing not only the best place our members will ever bank but the best place our employees will ever work.Between our one of...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Payment Integrity

    Director, Payment Integrity

    MedicaMinnetonka, MN, United States
    Full-time
    Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences an...Show moreLast updated: 30+ days ago
    • Promoted
    Affordability Analytics Analyst

    Affordability Analytics Analyst

    MedicaMinnetonka, MN, United States
    Full-time
    Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences an...Show moreLast updated: 30+ days ago
    • Promoted
    Relationship Banker

    Relationship Banker

    Old National BankNew Richmond, WI, United States
    Full-time
    Old National Bank has been serving clients and communities since 1834.With over $70 billion in total assets, we are a regional powerhouse deeply rooted in the communities we serve.As a trusted part...Show moreLast updated: 30+ days ago
    • Promoted
    BCBA

    BCBA

    Action Behavior CentersFarmington, MN, US
    Full-time
    APPLICATIONS ARE REVIEWED DAILY.YOU CAN EXPECT A RESPONSE WITHIN 24 HOURS.Our Patients : An intentional focus on small caseloads with a compassionate care approach. Our Culture : ABC Core Values are m...Show moreLast updated: 4 days ago
    • Promoted
    Pool Purchase Analyst

    Pool Purchase Analyst

    Compeer FinancialLakeville, MN, United States
    Full-time
    Compeer Financial is a member-owned cooperative located in Illinois, Minnesota and Wisconsin.We bring together team members with a variety of backgrounds and experiences to help provide financial s...Show moreLast updated: 30+ days ago
    • Promoted
    Prin Internal Credit Reviewer

    Prin Internal Credit Reviewer

    Compeer FinancialLakeville, MN, United States
    Full-time
    Compeer Financial is a member-owned cooperative located in Illinois, Minnesota and Wisconsin.We bring together team members with a variety of backgrounds and experiences to help provide financial s...Show moreLast updated: 30+ days ago
    • Promoted
    U.S. Customs and Border Protection Officer

    U.S. Customs and Border Protection Officer

    U.S. Customs and Border ProtectionChisago City, Minnesota, US
    Full-time +1
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...Show moreLast updated: 25 days ago
    • Promoted
    Senior Manager of First Line Risk Payments and Fraud - Commercial

    Senior Manager of First Line Risk Payments and Fraud - Commercial

    Associated Bank - CorpMinneapolis, MN, United States
    Full-time
    At Associated Bank we strive to create an inclusive culture where different perspectives are valued and recognized as strengths critical to our success. If you thrive in an environment where your gr...Show moreLast updated: 30+ days ago
    • Promoted
    Credit Ag Lending Intern

    Credit Ag Lending Intern

    Compeer FinancialLakeville, MN, United States
    Full-time +1
    Compeer Financial is a member-owned cooperative located in Illinois, Minnesota and Wisconsin.We bring together team members with a variety of backgrounds and experiences to help provide financial s...Show moreLast updated: 30+ days ago
    • Promoted
    Compliance Analyst

    Compliance Analyst

    Tactile MedicalMinneapolis, MN, United States
    Full-time
    The Compliance Analyst is responsible for supporting the development, implementation and execution of the company's corporate compliance and privacy programs. This individual will support the overal...Show moreLast updated: 30+ days ago
    • Promoted
    Solutions Analyst Agri-Access

    Solutions Analyst Agri-Access

    Compeer FinancialLakeville, MN, United States
    Full-time
    Compeer Financial is a member-owned cooperative located in Illinois, Minnesota and Wisconsin.We bring together team members with a variety of backgrounds and experiences to help provide financial s...Show moreLast updated: 30+ days ago