CREDENTIALED REVENUE INTEGRITY ANALYST - UW MEDICINE REVENUE INTEGRITY

Profile

CREDENTIALED REVENUE INTEGRITY ANALYST - UW MEDICINE REVENUE INTEGRITY
Req #:
203549
Department:
UW MEDICINE REVENUE INTEGRITY
Job Location:
Seattle Campus
Posting Date:
02/24/2022 
Closing Info:
Open Until Filled 
Salary:
Salary commensurate with education and experience 
Shift:
First Shift 
Notes:
As an employee you will enjoy generous benefits and work/life programs. For detailed information on Benefits for this position, click here.
UW Medicines mission is to improve the health of the public
by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrows physicians, scientists and other health professionals.


Become part of our team
, and join our mission to make life healthier for everyone in our community.


Under the direction of the Manager, Revenue Integrity, the CREDENTIALED REVENUE INTEGRITY ANALYST
will be responsible for performing charge audits on patient charts (ie.Medical Record) upon request from leadership for reasons for treatment, payment or operations.


The CREDENTIALED REVENUE INTEGRITY ANALYST is responsible for promoting revenue enhancement and compliance with billing regulations through the performance of charge audits ensuring complete documentation and accurate charge capture and timely billing.


The CREDENTIALED REVENUE INTEGRITY ANALYST must have skills and knowledge that span the UW Medicine Revenue Cycle from initial business process analysis and report data gathering, error resolution, denial/write-off reduction, to process analysis and improvement.  This role is responsible for working with a diverse group of people from All UW Medicine entities to identify revenue cycle improvement opportunities.  This requires an understanding of Clinic/Department Revenue Cycle Operational processes, and an understanding of Epic applications, data/business intelligence tools, ensure that the clinical documentation contained within the patient chart supports items or services that appear on the patients bill, and ensures that all items and services provided are included on the patient bill.


RESPONSIBILITIES:
REVIEW, REMEDIATE, AND EDUCATE ON CHARGE CAPTURE / REIMBURSEMENT OPPORTUNITIES

Identify charge capture/reimbursement issues and resolutions using available mechanisms [Epic BOE SSRS reports, Revenue Guardian, etc.] and performs validation through comprehensive chart review to identify missed/erroneous charges
Perform analysis and troubleshooting for charge capture / missing charge resolution and denial mitigation. 


REVIEW, REMEDIATE, AND EDUCATION ON DENIALS
Perform analysis and troubleshooting for denial mitigation
Assist with and document the development of new operational procedures / processes related to denial management


EPIC WORK QUEUE ISSUE RESOLUTION
Perform daily maintenance and quarterly audits of Epic Charge Review, Charge Router, Account Work queues and Error Pool


SPECIAL PROJECTS / PROCESS IMPROVEMENT INITIATIVES
Partner with HIM, Coding, Epic Core Team, Revenue Cycle and Clinical teams to support performance improvement opportunities


REQUIREMENTS:
Bachelors degree and/or equivalent applicable experience in HIM / Coding / Charge Capture and / or as a Hospital Clinic / Department manager, supervisor or charge lead role.
Knowledge and experience with Medicare/Medicaid and CMS regulations
3 years of Epic Experience (HB Resolute, Willow, OpTime, ClinDoc, Radiant, Cupid, Beacon)
Candidate should possess any of the following credentials: RHIA/RHIT/CCS/COC/RN/LPN or other related healthcare credential
At least five years experience in the healthcare industry.  Extensive experience in with hospital billing or reimbursement.  Understanding of CMS regulations and ability to interpret healthcare guidelines and regulations.
Proven analytical, verbal and written communications skills.
Experience may be substituted for requirements

 

DESIRED:
Experience working in HIM / Coding and / or Revenue Cycle is desired. 
Clinic Operations or Outpatient department expertise from working in specialty clinics or departments is desired and beneficial for this role, particularly specialty procedural areas.
Epic Certifications (HB Resolute, Willow, OpTime, ClinDoc, Radiant, Cupid, Beacon). Utilization Review or Case Management experience.  Strong coding and/or clinical background (RN) and/or coding certification (CPC/COC/CPC-H/RHIA/CCS/CDIP/CCDS)


CONDITIONS OF EMPLOYMENT:
Fast-paced professional office environment
Normal working hours.  May also work off hours and weekends.
Ability to use a keyboard and computer for extended periods of time.
REQUIREMENTS:
SEE ABOVE
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law
Committed to attracting and retaining a diverse staff, the **MEMBERS ONLY**SIGN UP NOW***. will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.
The **MEMBERS ONLY**SIGN UP NOW***. is a leader in environmental stewardship & sustainability
, and committed to becoming climate neutral.
The **MEMBERS ONLY**SIGN UP NOW***. is an affirmative action and equal opportunity employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.
To request disability accommodation in the application process, **** or ****
COVID-19 VACCINATION REQUIREMENT
Governor Inslee's Proclamation 21-14.2
requires employees of higher education and healthcare institutions to be fully vaccinated against COVID-19 unless a medical or religious exemption is approved. Being fully vaccinated means that an individual is at least two weeks past their final dose of an authorized COVID-19 vaccine regimen. As a condition of employment, newly hired employees will be required to provide proof of their COVID-19 vaccination. View the Final candidate guide to COVID-19 vaccination requirement webpage
for information about the medical or religious exemption process for final candidates.
Apply for this job
Categories
Healthcare
Financial Services
Business
Previous Job:
PROGRAM OPERATIONS ANALYST
**MEMBERS ONLY**SIGN UP NOW***.
Seattle, WA 98104 US
Next Job:
MENTAL HEALTH PRACTITIONER, HMC - PIONEER SQ NEIGHBD CLN (FULLT TIME/DAYS)
**MEMBERS ONLY**SIGN UP NOW***.
Seattle, WA 98104 US
Posted:
2022-02-25
Expires:
2022-03-27
**MEMBERS ONLY**SIGN UP NOW***.

Company info

Sign Up Now - FinancialServicesCrossing.com