Michigan Medicine · 18 hours ago
Financial or Bus Analyst Sr
Michigan Medicine is dedicated to improving the health of patients and communities through excellence in various fields. The Charge Integrity Business Analyst Sr plays a key role in supporting the Charge Integrity Unit by analyzing charge-related functionalities and collaborating with various departments to optimize workflows and ensure compliance.
EducationHealth CareMedical
Responsibilities
Assist Charge Integrity Analysts with questions, troubleshooting and testing
Investigate charge capture issues, perform root cause analyses, analyze impact, evaluate risk factors, define pros/cons, and prepare presentations proposing and justifying build and workflow changes
Work with Providers, Nursing, Clinical Department Management, HITS MiChart teams, Finance, and Revenue Cycle leadership and peers to oversee/execute the design, build, testing, training, and implementation of rule or workflow changes and optimizations
Monitor implementations and evaluate outcomes to ensure the changes improve performance and result in optimal and compliant charge capture
Assist in identify areas of missed or inappropriate facility and professional revenue using billing, financial data and/or through process review of clinical, charge capture and/or billing operations
Assist with rule creation and WQ changes, including test script creation and execution to ensure proper rule functionality
As assigned, work to investigate WQ backlog, identify issues, determine root causes, propose options to resolve issues, and work with others as needed to implement solutions
When necessary, work with Clarity report writers to design reports not available through Reporting Workbench or Tableau
Obtain and maintain Coding Certification. Remain current on Payer specific regulations including subscribing to newsletters, reading articles/memos and attend seminars
Maintain Revenue Guardian and ensure checks remain current and accurate
Assist with MiChart Upgrade testing and monitor post go live
Other projects as assigned
Qualification
Required
Bachelor's degree in Business or Health Administration, Nursing or equivalent combination of education and work experience
Coding Certification- CPC, CPC-H or coding experience with certification obtained with first 12 months of employment
A minimum of five years' experience in the healthcare field, facility coding process and/or reimbursements, including familiarity with the functions and compliance concerns related to chargemaster required
Charge Integrity, Hospital PBS, Billing or Coding experience within the last 5 years from posting date
Strong quantitative, analytical and organizational skills. Self-starter and detail oriented. Excellent communication and written skills required
Experience with Microsoft Outlook, Excel, Word, PowerPoint, Epic EHR (MiChart). Experience performing financial and billing data reviews, claim and medical record reviews, analyzing documentation, identifying areas of financial risk and potential
Strong emphasis on Excel skillset and analytical abilities
Experience interpreting and applying CMS and other third-party payer guidelines and regulations
Strong customer service focus with the ability to articulate both written and verbal communication(s)
Great attendance record
Preferred
Knowledge of University Health System policies, procedures and regulations
Knowledge of or experience in the delivery of patient care
Proficiency in Microsoft, Access, Visio, Toad DataPoint/Hyperion IR, Datamart
Familiarity with Payor Websites
Company
Michigan Medicine
Michigan Medicine is a health care system and academic medical center that provides medical education and more. It is a sub-organization of University of Maichigan.
Funding
Current Stage
Late StageLeadership Team
Recent News
2025-12-11
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