Revenue Integrity Analyst

University of Washington; Seattle (WA); Remote; USD 84,000 - 108,000; Full time

Job summary

UW Medicine Revenue Integrity is seeking a Revenue Integrity Analyst to ensure accuracy in charge capture and reimbursement across our Epic ecosystem and related data sources.

You will analyze data, develop procedures, and train clinicians and staff to improve revenue cycle performance while supporting enterprise reporting initiatives. This role offers remote flexibility with a focus on rigorous data analysis and cross-team collaboration.

Qualifications

• Bachelor’s degree required.
• 6–8 years’ experience in healthcare industry.
• Coding credential (CPC, COC, CCS, CCS-P, RHIT, RHIA) or plan to obtain within 12 months.
• Experience with ICD-10/HCPCS/CPT codes.
• 4 years of EMR experience and training clinicians.
• Knowledge of Medicare/CMS, Medicaid, AMA, payor regulations.
• Understanding of revenue cycle processes and data analytics.

Responsibilities

• Identify charge capture and reimbursement issues using Epic, BOE SSRS, Revenue Guardian, and similar tools.
• Analyze and troubleshoot charge capture, missing charges, and denial mitigation.
• Monitor revenue, KPI data, and charging/billing data to identify trends and report findings.
• Develop and document new procedures related to Charge Capture.
• Create and maintain reports and work lists with Epic, Cogito, BOE, Visio, and Excel.
• Collaborate with internal customers to design custom and production reports.
• Ensure data quality and support enterprise reporting improvements.
• Collaborate with HIM, Coding, Epic Core Team, and Revenue Cycle teams to drive improvements.
• Provide education and training to MDs, ARNPs, clinic managers, nurses, etc.

Skills

Data analytics

Verbal communication

Written communication

Collaboration

Education

Bachelor’s degree

Tools

Epic

Cogito

BOE

Visio

Microsoft Project

Microsoft Excel

Microsoft Access

Job description

Remote (100% telework)

Seattle, WA

Full time

REQ-0000138865

Job Description

Job Description

UW MEDICINE REVENUE INTEGRITY has an outstanding opportunity for a REVENUE INTEGRITY ANALYST

WORK SCHEDULE

100% FTE

Days

100% Remote

POSITION HIGHLIGHTS

Under the general direction of the Director of Revenue Integrity, the Revenue Integrity Analyst, has primary responsibility for the ongoing accuracy and integrity education

DEPARTMENT DESCRIPTION

This department is part of the administrative team that is responsible for UW Medicine Revenue Integrity initiatives as it spans across UW Medicine.

PRIMARY JOB RESPONSIBILITIES

• Identify charge capture/reimbursement issues and resolutions using available mechanisms [Epic, BOE SSRS reports, Revenue Guardian, etc.]

• Perform analysis and troubleshooting for charge capture / missing charge resolution and denial mitigation.

• Monitor revenue, usage, and Epic / EpicCare charging / billing data to monitor performance (i.e., KPIs); identify, report, and rectify patterns and trends

• Assist with and document the development of new operational procedures / processes related to Charge Capture

• Implement and maintain reports and work lists using various software applications such as Epic (Cogito), BOE, Visio, Microsoft Project, Microsoft Excel, Microsoft Access

• Uses knowledge of other applications and sources of data both within and outside the organization to enhance information analysis, decision making and management reporting

• Collaborates with internal customers to assess information requirements and develop special custom and production reports to meet those needs

• Upholds maintenance and continuous improvement of the quality and integrity of data collected for decision-making and collaborates with other areas of the organization to ensure consistent reporting of information. Analyzes and makes recommendations for improved data quality.

• Develops and maintains reports and performing analysis that allows Revenue Integrity to identify trends and provide feedback to help improve overall performance of Revenue Integrity Department and Enterprise Revenue Cycle.

• Collaborate with HIM, Coding, Epic Core Team, and Revenue Cycle teams to support performance improvement opportunities

• Education and training of MDs, ARNPs and other billable providers, clinic managers, nurses, and more

REQUIRED QUALIFICATIONS

• Bachelor’s degree

• At least 6-8 years’ experience in the healthcare industry

• Coding credential [CPC, COC, CCS, CCS-P, RHIT, or RHIA] or the intention to obtain one within 12 months of hire

• Experience with ICD-10/ HCPCS/ CPT codes

• 4 years of Electronic Medical Records experience and history of providing training to clinical operations and clinicians

• Knowledge and experience with Medicare/CMS, Medicaid, AMA, and payor regulations with the ability to interpret healthcare coding guidelines for compliant application

• Understanding of front-end, mid-cycle, and back-end revenue cycle processes

• Understanding of data analytics and methodology

• Skilled in presenting complex concepts and data analysis to wide audiences; competence in both verbal and written communications

Compensation, Benefits and Position Details

Pay Range Minimum:

$84,000.00 annual

Pay Range Maximum:

$108,000.00 annual

Other Compensation:

-

Benefits:

For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/

Shift:

First Shift (United States of America)

Temporary or Regular?

This is a regular position

FTE (Full-Time Equivalent):

100.00%

Union/Bargaining Unit:

Not Applicable

ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER

UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the publicby advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.

All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Our Commitment

The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (https://policy.uw.edu/directory/po/executive-orders/eo-81-prohibiting-discrimination-harassment-and-sexual-misconduct/) .

To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or [e-mail] .

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (https://app.leg.wa.gov/RCW/default.aspx?cite=28B.112.080) .

There are many perks to working for the University of Washington. Learn more about the benefits (https://www.washington.edu/jobs/benefits-for-uw-staff/) that could be available to you as a UW employee.

University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.