Revenue Integrity Analyst

UW Advancement Careers; Seattle (WA); Remote; USD 84,000 - 108,000; Full time

Job summary

UW Medicine Revenue Integrity seeks a Revenue Integrity Analyst to ensure accurate charge capture and reimbursement. You will work under the Director of Revenue Integrity in a 100% remote, full-time role focused on data analysis, reporting, and process improvement across the Revenue Integrity team.

Responsibilities include identifying charge capture issues with Epic, BOE, and other tools; developing procedures; training MDs, ARNPs, and clinicians; and collaborating with HIM, Coding, and Revenue

Qualifications

• Bachelor's degree required.
• 6-8 years of healthcare industry experience.
• Coding credential (CPC/COC/CCS/CCS-P/RHIT or RHIA) or intent 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 front-end, mid-cycle, and back-end revenue cycle processes.
• Experience in data analytics and reporting to support decision-making.
• Excellent verbal and written communication skills.

Responsibilities

• Identify charge capture/reimbursement issues and resolutions using 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 identify trends and report findings.
• Develop and document new procedures related to Charge Capture.
• Implement and maintain reports/worklists using Epic (Cogito), BOE, Visio, MS Project, Excel, Access.
• Utilize internal/external data sources to enhance information analysis and management reporting.
• Collaborate with internal customers to create custom/production reports.
• Maintain data quality and ensure consistent reporting across the organization.
• Develop reports/analyses to identify trends and improve Revenue Integrity performance.
• Collaborate with HIM, Coding, Epic Core Team, and Revenue Cycle to support improvements.
• Educate and train MDs, ARNPs, clinicians, managers, and nurses.

Skills

Data analytics

Communication

Revenue cycle

Revenue cycle understanding

Education

Bachelor's degree

Coding credential within 12 months

Tools

Epic (Cogito)

BOE

SSRS

Visio

Microsoft Project

Excel

Access

Job description

REVENUE INTEGRITY ANALYST

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

Benefits

Other Compensation:

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.

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.