Revenue Integrity Analyst

Altru Health System; Grand Forks (ND); On-site; USD 61,000 - 91,000; Full time

Benefits offered by this job

Health plan

401(k) retirement plan

Dental plan

Vision plan

Life and disability insurance

Education assistance

Paid time off

Job summary

Altru Health System in Grand Forks, ND is seeking a Revenue Integrity Analyst to reconcile the accounts receivable ledger and ensure accurate posting of all payments. The role focuses on EPIC CDM initiatives, revenue cycle integrity, and compliance with payer requirements to optimize cash flow across departments.

The position requires an Associates degree in healthcare or related field and a minimum of 3 years related experience.

Qualifications

• Associates degree in Healthcare or related field required.
• Minimum of 3 years related experience in revenue integrity or related role.
• Proficiency in reading, writing, and speaking English.
• Epic certification and competency preferred.

Responsibilities

• Coordinate, implement, and maintain the EPIC CDM for AHS and Community Connect partners.
• Balance accounts receivable and provide end-of-month reports for GL entries.
• Respond to revenue audit requests from patients, physicians, carriers, auditors, or departments.
• Audit revenue departments for substantiation of transactions and correct billing issues.
• Review WQs and implement changes to CDM, fee schedules, and billing mechanisms.
• Research CPT codes, revenue codes, and other billing issues.
• Meet mandatory organizational requirements including Epic certification and competency.
• Review master price lists for services, devices, and medications.

Education

Associates - Healthcare- OR -Associates - Related Field

Job description

Everything we do is underscored by a why — and that why is one another.

Location:

Altru Health SystemPO Box 6002Grand Forks, ND 58201Pay Range: $60,715.20 - $91,083.20

Summary:

The Revenue Integrity Analyst reconciles the accounts receivable ledger to ensure that all payments are accounted for and properly posted. The Analyst is responsible for coordinating, implementing, and maintaining the Epic Charge Description Master (CDM) initiatives and processes with a focus on accuracy, revenue cycle integrity, and compliance with third-party payer requirements. This position assists revenue producing departments with charge capture, charge reconciliation, billing and compliance issues in accordance with regulations. The Revenue Integrity Analyst helps to ensure optimal cash flow through the resolution of assigned billing and error work queues.

Essential Job Functions:

• Coordinates, implements, and maintains the EPIC Charge Description Master for AHS and Community Connect partners ensuring compliance with payer regulations and guidelines. Builds awareness and knowledge base of third party payment systems, government regulations, billing issues, registration issues, and coding and regulatory requirements. Stays apprised of payer billing rules and regulations to ensure compliance.

• Balances accounts receivable and analyses the supporting documents. Provides end-of-month reports and spreadsheet data to the Financial Management Analysts for accurate general ledger entries.

• Responds to revenue audit requests from patients, physicians, insurance carriers, third party auditors and hospital departments or their authorized representative.

• Audits revenue producing departments enabling substantiation of transactions on patient’s bills. Researches data anomalies and completes follow up to verify corrections are made. Audits Cost Center Reports for proper revenue recognition.

• Reviews Epic WQs, conducts research needed to resolve the account issues and makes changes/corrections to patients’ accounts, CDM, fee schedules and/or other billing mechanisms. Works with tech support to implement changes in build to support correct charging.

• Researches and resolves CPT code, revenue code and other issues identified by other departments.

• Identifies needs and sets goals for own growth and development. Meets all mandatory organizational and department requirements including Epic certification and competency.

• Reviews and validates the master price list of all services, devices and medications charged for inpatients and outpatients.

• Performs other duties as assigned or needed to meet the needs of the department/organization.

Education:

• Required: Associates - Healthcare- OR -Associates - Related Field

Work Experience:

• Required: A minimum of 3 years Related Experience

Language Requirements:

This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Physical Demands :

• Sit: Frequently (34-66%)
• Stand: Occasionally (5-33%)
• Walk: Occasionally (5-33%)
• Stoop/Bend: Occasionally (5-33%)
• Reach: Frequently (34-66%)
• Crawl: Not Applicable
• Squat/Crouch/Kneel: Occasionally (5-33%)
• Twist: Occasionally (5-33%)
• Handle/Finger/Feel: Continuously (67-100%)
• See: Continuously (67-100%)
• Hear: Continuously (67-100%)

Weight Demands:

• Lift -Floor to Waist Level: Sedentary (<10 pounds)
• Carry: Sedentary (<10 pounds)
• Push/Pull: Sedentary (<10 pounds)
• Slide/Transfer: Not Applicable

Working Conditions:

• Indoor: Continuously (67-100%)
• Outdoor: Not Applicable
• Extreme Temperature: Not Applicable

Driving Requirement Definitions:

• Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
• Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
• Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
• Infrequent Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position:

Infrequent DriverReference ID: R8204

Making a real difference. For one another.

To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.

At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.

Join our team and be a part of a small community with a big heart.

Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)