Senior Analyst, Rev Integrity jobs in United States
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Northwestern Medicine · 2 weeks ago

Senior Analyst, Rev Integrity

Northwestern Medicine is a leader in the healthcare industry, dedicated to providing a patient-first approach. The Senior Revenue Integrity Analyst will support the Clinical Department and revenue cycle, performing charge capture analysis and maintaining compliance and accuracy of the charge master.

Emergency MedicineHealth CareHospitalMedicalNutritionRehabilitation
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H1B Sponsor Likelynote

Responsibilities

Perform daily maintenance and quarterly audits of the EAP
Prepare necessary files for the EAP database of required department builds
Proactively identify charge capture opportunities in all revenue producing departments
Research and interpret billing and coding regulations, communicate to impacted areas, and apply changes that affect policy, financial, charge capture, patient care, billing, and coding operations
Lead quarterly audits on the charge master data elements
Review departmental front-end charge capture tools for accuracy
Leads complex audits and prepares methodology for annual pricing changes and/or annual coding changes
Consistently delivers concrete, relevant results. Displays qualities of resiliency and resourcefulness while thinking strategically and practically when problem solving. In addition to results orientation, displays business knowledge, speed and decisiveness, and project management
Troubleshoot complex account errors and provides education for resolution to Revenue Manager(s)
Resolve and answers questions related to charge capture and complex regulatory billing issues. (e.g. Provider-Based status rules, OPPS, CCI, MUE)
Liaison with Revenue Cycle, IT and clinical departments to link EPIC and charge master
Research, compile, and analyze financial data while organizing and maintaining database files for financial modeling
Mentors and supports members of Revenue Integrity Team as an informal leader
Lead efforts to assess, modify, and/or develop and implement more timely and consistent processes/systems to increase efficiency, accuracy, and meaningfulness of information
Demonstrates knowledge in computer applications such as knowledge in databases, spreadsheets and word processing applications in a high complexity environment
Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies
Supports the finance, operations and revenue cycle teams through special projects
Protect operations by keeping financial and patient information confidential
Supports the finance operation of Northwestern Medicine

Qualification

Revenue cycle experienceCPTHCPCSICD-10 knowledgeMedicare/Medicaid regulationsEPIC CertificationSQL knowledgeAnalytical skillsTechnical knowledgeCommunication skillsCollaboration skillsAttention to detailProject management

Required

Bachelor's Degree in Business or related field or 10 years of equivalent experience with progressive advancement
Strong communication, collaboration, and analytical skills
Proficiency with Microsoft office suite
5+ years in revenue cycle or revenue integrity role
Requires critical thinking, decisive judgment, high attention to detail and ability to work with minimal supervision
Advanced understanding of CPT, HCPCS, ICD-10, and third party billing requirements
Extensive knowledge and experience with Medicare/Medicaid regulations

Preferred

EPIC Certification (Resolute Charge Capture)
EPIC Certification (Clarity Report Data)
Master's degree in Healthcare Management, Business, MIS, Data Analytics, or related field
Beginner to Moderate knowledge of SQL and relational databases
RHIA preferred or related health care credential (e.g. Radiology technician, RN)

Benefits

Tuition reimbursement
Loan forgiveness
401(k) matching
Lifecycle benefits

Company

Northwestern Medicine

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Northwestern Medicine is the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine around a strategic vision to transform the future of health care.

H1B Sponsorship

Northwestern Medicine has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (75)
2024 (66)
2023 (70)
2022 (78)
2021 (35)
2020 (39)

Funding

Current Stage
Late Stage
Total Funding
$25M
2018-06-26Grant· $25M

Leadership Team

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Howard Chrisman, MD
President and CEO
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John A. Orsini, CPA
Senior Vice President and Chief Financial Officer
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Company data provided by crunchbase