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Fred Hutch · 2 hours ago

Revenue Integrity Analyst

Seattle, WA

Full-time

Hybrid

Entry, Mid Level

$80K/yr - $115K/yr

2+ years exp

Fred Hutchinson Cancer Center is an independent, nonprofit organization focused on cancer treatment and research. The Revenue Integrity Analyst is responsible for maintaining and implementing Charge Description Master initiatives, ensuring accuracy and compliance in the revenue cycle, and facilitating operational changes to improve net revenue.

Hospital & Health Care

No H1B

Responsibilities

Deliver, monitor and maintain a consistent and accurate CDM in compliance with both state, internal and federal regulatory agencies

Updating CDM (charge description master—CPT codes, standard/research prices, etc.) to ensure optimal facility fees and maximize collections

Reviews changes in pricing, CPT codes, HCPCS codes, and revenue codes for accuracy and compliance with all applicable charging and billing guidelines

Provides coding and pricing estimates requested by internal and or external customers

Maintains Fred Hutch’s coding and pricing documents for customer service, patient navigator, pricing transparency and PFS

Monitor’s and resolves interfaced revenue system charges in EPIC WQ’s

Performs charge reconciliation process to ensure that charges are captured and assist with charge capture entry

Provide communication and education to clinical departments regarding annual and quarterly CPT/HCPCS changes and additions

Conducts special projects and special studies to facilitate revenue management as required for system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc

Reviews, monitors, and facilitates implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements

Monitors CMS and commercial payor policies. Prepares and implements action plans with follow-up to departments regarding policy changes

Management of automation build to ensure Q/A post implementation or EPIC updates

Development of library reports in slicers, bench report, dashboard and/or external analytics system

Supporting business continuity preparedness, downtime, and recovery by developing reconciliation reports

Assist with Revenue Cycle Business Planning for impact analysis to mid -back end revenue cycle processes

Supporting data entry by hand keying charges into Epic for specific systems and departments

Coordinating and researching technical solutions to optimize charge capture including referencing technical documentation and resources

Reconciling charges by running Epic workbench or Slicerdicer reports to measure accuracy of charges posted from peer system

Referencing and utilizing reports in Finthrive CDM product to implement best practices and ensure integrity of charge master data

Other duties as assigned

Qualification

CDM experienceCPTICD10HCPC knowledgeAnalytical skillsMS Office Suite proficiencyCMS policy knowledgeAmbulatory Payment Classifications knowledgeEpic HB experienceCertifications RHIACertifications RHITCertifications etc.Critical thinkingTeamworkCommunication skillsProblem-solving