Rush University Medical Center · 14 hours ago
Revenue Integrity Analyst-23467
Chicago, IL
Full-time
Onsite
Entry, Mid Level
$27.47/hr - $43.27/hr
2+ years expRush University Medical Center is a leading healthcare provider, and they are seeking a Revenue Integrity Analyst. The role involves using advanced knowledge of coding and charge capture to ensure accurate billing and auditing processes, while also providing education and support to operational departments.
Clinical TrialsEducationHealth CareMedicalTraining
Responsibilities
Use logic-based critical thinking and decision making to accurately enter charges on patient accounts for hospital/facility and professional charges in accordance with CMS and AMA guidelines
Responsible for accounts within the assigned Epic Account, Charge Review, and Claim Edit Work queues while solving edits related to National Correct Coding Initiatives (NCCI edits), Medically Unlikely Edits (MUE edits) Procedure to Procedure (PTP edits), and Outpatient Coding Edits (OCE edits) in Epic using patient documentation, coding rules, billing guidelines, and proper modifier use in a timely manner
Assess the Charge Description Master (CDM) and contribute to accurate CDM line items by evaluating revenue codes, descriptions, CPT/HCPCS code and pricing
Audit and reconcile charges against clinical documentation, code rules and charging methodologies for internal purposes along with external audits
Works with external vendors to review charge capture opportunities and documentation to identify missed charges and correct accounts
Identify trends, analyze to propose and create meaningful solutions, improve processes, create training content, and participate in the education of departments regarding their CDM and missed charges
Serves as subject matter expert for fellow team members to review questions and assist with resolving accounts
Meets or exceeds accuracy, quality work, on-time delivery, and productivity standards set by CMS, OIG, and direct manager
Researches all current and future complex payor requirements for compliant billing, timely payment, and maximum reimbursement
Provides input and implements process improvement initiatives recognizing revenue enhancement and charge integrity opportunities
Communicates, observes, and reports on charge entry trends and patterns and provides recommendations for improvement
Engages in continual education and training in the revenue integrity field and healthcare CDM, charges, auditing, data, and other duties or projects as assigned
Qualification
Required
Associates degree or higher
Minimum 2-4 years of healthcare experience working with billing, charge entry, charge capture, or CDM
AAPC Certification or AHIMA Certification, or Epic Software Certification
Proficient and functional knowledge of reviewing charges in the Epic EHR
Advanced knowledge of medical terminology as well as medical billing language. Must demonstrate a thorough knowledge of UB-04 Revenue Codes, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Level II along with modifiers
Excellent written and oral communication skills along with problem-solving
Proficiency with MS Office Suite
High degree of accuracy and ability to collaborate with others
Benefits
Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).
Company
Rush University Medical Center
Rush University Medical Center offers healthcare services for children and adults, clinical trials, medical education and training services.
10001+ employees
H1B Sponsorship
Rush University Medical Center 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 (45)
2024 (89)
2023 (69)
2022 (81)
2021 (65)
2020 (66)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Parkinson's Foundation
2023-07-25Grant
Leadership Team
Richa Gupta
Chief Operating Officer, Rush University Medical Group
Courtney Cole Kammer
Senior Vice President, Chief Human Resources Officer
Recent News
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