Revenue Integrity Analyst

Overview:

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Maintains the Chargemaster to comply with federal and state regulations and internal hospital policies. Ongoing interaction with clinical staff, revenue cycle staff, coding staff, billing staff, and IT teams.  Implements and supports continuous improvement in key revenue cycle functions while maintaining coding and billing compliance for the organization. Maintain a good working relationship with all clinical staff to ensure clear communication and a collaborative approach to implementing best practice processes. 

PRIMARY DUTIES AND RESPONSIBILITIES

4. Reviews compliance regulations and coding requirements (primarily Medicare) and incorporates these changes into the Chargemaster.
5. Educates Department Managers and/or Practice Managers on compliance and coding regulations.
6. Coordinates with Department Managers and/or Practice Managers on new procedures being performed to assure the charges are set up appropriately and timely and the staff responsible for entering charges is educated.
7. Coordinates the set up & maintenance of the Chargemaster, system charging templates and/or charge sheets for Departments and/or Practices.
8. Assists in the development of Hospital System Policies relating to charge entry, price setting, and development of new charge items.
9. Conducts audits to assure all documented charges are being captured and performs audits to confirm that charges are being billed correctly on the claim.
10. Coordinates with the business office to resolve any denial issues related to the Chargemaster.
11. Assists Revenue Cycle Support Coordinator in other projects and analyses.

REQUIRED 

1. B.S. degree in Nursing, Health Information Management, Healthcare Administration, Business Administration. Relevant years of work experience in the range of 8 – 10 years may be substituted for a B.S. degree.
2. Must have a coding or nursing credential (RHIA, RHIT, CPC, CCS, RN) or a financial background.
3. Must have minimum of 2 years hospital and/or physician practice coding experience.
4. Demonstrated communication skills and an ability to work independently and deal effectively with various types of personnel.
5. Knowledge of Microsoft Office products.

PREFERRED

1.  Three to five years experience in a hospital and/or physician practice setting.