other
Posted Mar 27Revenue Integrity Analyst
Remote
Responsibilities
- Prepare and present quarterly and annual CPT/HCPCS changes, annual pricing updates and provide client education material and presentation.
- Conduct thorough research to ensure the Charge Description Master (CDM) is maintained regularly.
- Conduct thorough analysis of billing errors and denial data to diagnose root causes.
- Perform Quality Assurance on team members, as needed.
- Collaborate with client leadership to ensure charge trigger matrix is clearly documented and updated, as needed.
- Conduct root cause analysis on late charge reporting and provide client education for timely charge capture.
- Ensure effective monitoring and internal control processes in place to improve revenue capture.
- Ensure effective monitoring and reporting control processes in place to improve performance.
- Coordinate operational objectives by contributing information and recommendations to strategic plans and reviews; preparing and completing action plans.
Requirements
- The Revenue Integrity Analyst plays a pivotal role in ensuring financial health for acute and non-acute organization by meticulously managing the charge master, regulation code changes, work queues, charge capture, charge reconciliation, reporting, and analytical trending.
- In addition, this position is required to provide analytical insight regarding reports for charges that are not captured accurately or consistently.
- Essential Job Functions: Charge Master Evaluates current charging processes to diagnose the root cause of any charge inefficiencies and ensures standard charge practices are implemented.
- experience required Excellent knowledge of Epic, Excel and SQL queries.
- Working knowledge of CPT & HCPCs coding guidelines.
- Excellent computer, proof reading, and written and verbal communication skills.
- Excellent interpersonal skills including the ability to communicate effectively with CHP internal and external customer base.
- Ability to work independently, proactively with limited supervision and also as a team player when called upon.
- Ability to work under pressure.
- Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
- Minimum Education: Bachelor’s Degree or equivalent
- experience Certifications: CRCR Required within 9 months of hire (company paid) Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong
- Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Benefits
- The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive
- Benefits Career Advancement This position starts at $47,400.
- Final compensation will be determined based on experience.
- benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
- Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.
- A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
Contact
- If you require accommodation in the application process, please contact TA@ensemblehp.com .
Additional details
- Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
- They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
- Ensemble keeps communities healthy by keeping hospitals healthy.
- We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful.
- This is why our people are the most important part of who we are.
- By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
- Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
- Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
- This includes the identification of root cause and creation/maintenance of processes to ensure charge capture.
- This position is responsible for uncovering root causes and developing a correct action plan.