RN Revenue Integrity Analyst

Join to apply for the RN Revenue Integrity Analyst role at Mercyhealth Wisconsin and Illinois

The RN Revenue Integrity Analyst contributes and supports revenue integrity's mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and charge improvement process.

Overview

This position is a holistic approach that guides the organization toward achieving operational efficiency, complete regulatory compliance, and total reimbursement.

Responsibilities

• Interacts with clinical department directors to monitor charge capture functions across all entities.
• Evaluates current charging and coding structures and processes in clinical departments to ensure appropriate capture and reporting of revenue and compliance with government and third-party payer requirements.
• Completes focused charge review assessments for assigned clinical departments and / or service lines to ensure that charges are generated in accordance with established policies and timeframes.
• Advises service line leaders and their staff on proper usage of charge codes; identifies opportunities for capturing additional revenue in accordance with payer guidelines; develops specifications to modify existing charge capture applications to reduce charge-related claim edits / rejections.
• Provides guidance and communication on correct change capture, coding and billing processes to clinical departments and facilities.
• Monitors EPIC Revenue Integrity Dashboard(s)
• Participates in moderately complex projects related to revenue integrity initiatives.
• Provide support for assigned cost centers within service lines
• Participates in analyzing changes to coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars and publications.
• Train and assist clinical team with revenue integrity functions.
• Performs miscellaneous duties as assigned.
• Completes and / or attends mandatory training and education sessions within approved organizational guidelines and timeframes.
• Comfortable in presenting to and interacting with levels of hospital management and with clinical leaders.
• Excellent organizational and project management skills.
• Strong time management, attention to detail, and follow through.
• Well-developed research skills.
• Interacts professionally with coworkers and customers to represent the Revenue Integrity Department positively.
• Work effectively as a team contributor on all assignments.
• Works independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations.
• Delivers positive patient experience, where applicable.

Requirements

Benefits

J-18808-Ljbffr