Northwestern Memorial Healthcare
Analyst, Revenue Integrity, Professional Billing
Northwestern Memorial Healthcare, Warrenville, Illinois, United States, 60555
Company Description
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you’ll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?
Responsibilities
Perform daily maintenance and quarterly audits of the EAP.
Prepare necessary files for the EAP database of required department builds.
Identify charge capture opportunities or compliance issues in revenue producing departments.
Research billing and coding regulations. Communicate and assist in implementing any necessary changes to impacted area that affect policy, financial, charge capture, patient care, billing, and coding operations.
Assist in quarterly audits on the charge master data elements.
Review departmental front-end charge capture tools for accuracy. Take necessary action to ensure accurate charging on patient accounts.
Support complex audits and prepare methodology for annual pricing review and coding changes.
Liaison with Revenue Cycle, IT and clinical departments to link EPIC and charge master.
Consistently deliver concrete, relevant results. Display qualities of resiliency and resourcefulness while thinking strategically and practically when problem solving. In addition to results orientation, display business knowledge, speed and decisiveness, and project management.
Support the finance, operations and revenue cycle teams through special projects.
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.
Protect operations by keeping financial and patient information confidential.
Support the finance operations of Northwestern Medicine.
Qualifications Required
Bachelors Degree in Business or related field or 10+ years of equivalent experience with progressive advancement.
3+ years of relevant experience
Excellent communication, collaboration, analytical, and accounting skills
High level of precision and attention to detail
Expert knowledge of Microsoft Office Suite
Moderate / Advanced understanding of CPT coding and third party billing requirements
Knowledge and experience with Medicare / Medicaid regulations
Preferred
Healthcare finance experience
EPIC Certification (Resolute Charge Capture)
RHIA preferred or related health care credential (e.g. Radiology technician, RN)
Additional Information Northwestern Medicine is an affirmative action / equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit ourBenefitssection to learn more.
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Responsibilities
Perform daily maintenance and quarterly audits of the EAP.
Prepare necessary files for the EAP database of required department builds.
Identify charge capture opportunities or compliance issues in revenue producing departments.
Research billing and coding regulations. Communicate and assist in implementing any necessary changes to impacted area that affect policy, financial, charge capture, patient care, billing, and coding operations.
Assist in quarterly audits on the charge master data elements.
Review departmental front-end charge capture tools for accuracy. Take necessary action to ensure accurate charging on patient accounts.
Support complex audits and prepare methodology for annual pricing review and coding changes.
Liaison with Revenue Cycle, IT and clinical departments to link EPIC and charge master.
Consistently deliver concrete, relevant results. Display qualities of resiliency and resourcefulness while thinking strategically and practically when problem solving. In addition to results orientation, display business knowledge, speed and decisiveness, and project management.
Support the finance, operations and revenue cycle teams through special projects.
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.
Protect operations by keeping financial and patient information confidential.
Support the finance operations of Northwestern Medicine.
Qualifications Required
Bachelors Degree in Business or related field or 10+ years of equivalent experience with progressive advancement.
3+ years of relevant experience
Excellent communication, collaboration, analytical, and accounting skills
High level of precision and attention to detail
Expert knowledge of Microsoft Office Suite
Moderate / Advanced understanding of CPT coding and third party billing requirements
Knowledge and experience with Medicare / Medicaid regulations
Preferred
Healthcare finance experience
EPIC Certification (Resolute Charge Capture)
RHIA preferred or related health care credential (e.g. Radiology technician, RN)
Additional Information Northwestern Medicine is an affirmative action / equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.
Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit ourBenefitssection to learn more.
#J-18808-Ljbffr