Revenue Integrity Analyst Associate

Hennepin Healthcare; Minneapolis (MN); Remote; USD 55,000 - 75,000; Full time

Job summary

Hennepin Healthcare in Minneapolis offers a remote Revenue Integrity role focused on complete charge capture and accurate billing. You will review clinical documentation, enter charges, and support chargemaster maintenance to maximize revenue opportunities.

The position requires CPT/HCPCS and revenue code knowledge, strong attention to detail, and effective communication within a fast-paced team. Remote work with standard business hours includes Monday–Friday days.

Qualifications

• Post high school education
• At least 1 year of prior chargemaster, billing and/or coding experience
• Or an approved equivalent combination of education and experience
• Knowledge of CPT, HCPCS, and revenue codes
• Knowledge of medical terminology
• Experience with Microsoft Office tools (Outlook, Word, Excel, PowerPoint, Access, Teams, OneNote)
• Epic experience preferred

Responsibilities

• Understand chargemaster setup and assist in review and maintenance
• Maintain knowledge of CPT/HCPCS coding and revenue codes
• Complete accurate and timely charge capture by reviewing documentation and entering charges
• Audit billing processes for reasonableness and accuracy
• Distribute charge-related communications to relevant departments
• Provide input on documentation deficits affecting charges
• Assist with account fixes and resolution of incomplete charging information
• Manage daily workqueues to resolve bill holds and billing edits
• Report findings from workqueues and follow-up analysis
• Serve as first point of contact for clinical staff on billing questions and process improvements
• Educate staff to ensure coding and billing compliance and reduce missed revenue opportunities
• Train and support charge reconciliation processes in clinical areas
• Develop and implement actions to minimize late or missing charges
• Collaborate with other departments to fix errors and improve denial rates
• Perform other duties as assigned

Skills

Attention to detail

Communication skills

Problem-solving

Customer service

Microsoft Office

Education

Bachelor's degree in Business Administration, Health Care Administration, Nursing, Health Information Management or related healthcare concentration

RHIT/RHIA/CCS/CPC certifications

Post high school education

Tools

MS Office

Epic software

Job description

JOB DETAILS Department: Revenue Integrity FTE: 1.00 (80 hours per pay period) Workdays: Monday - Friday Shift(s): Days Shift Length: 8 hours Location: Remote* *Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin.

Purpose of this position: Responsible for ensuring complete charge capture for services provided; i ncluding, but not limited to: daily charge reconciliation assistance, audits, data entry and missing charge follow-up, assisting with chargemaster maintenance and establishing procedures to support above.

RESPONSIBILITIES:

• Understands chargemaster setup and assists in the review and maintenance of the chargemaster
• Maintains basic knowledge of CPT/HCPCS coding and revenue codes
• Completes accurate and timely charge capture as necessary by reviewing clinical documentation and entering appropriate charges
• Audits billing process to ensure reasonableness and accuracy of information and charges.
• Distributes communication on charge-related issues to the proper department(s)
• Provides input to team and leadership regarding deficits in documentation which affect accurate charges
• Assists with account fixes and resolves incomplete charging information as appropriate
• Manages daily workqueues to resolve bill holds for charge-related issues and assists in the resolution of billing edits
• Assists in reporting findings from workqueues, including erroneous or missing charges and follow-up analysis
• Acts as first point of contact for clinical staff to assist with billing/charging questions and process improvement around charge capture. Educates staff to ensure coding and billing compliance and to reduce missed revenue opportunities
• Trains, monitors and supports charge reconciliation processes in clinical areas
• Assists in the development and implementation of recommendations and actions plans to minimize late or missing charges
• Collaborates with other departments to identify/fix errors and improve denial rates for charges
• Performs other duties as assigned

QUALIFICATIONS Minimum Qualifications:

• Post high school education
• At least 1 year of prior chargemaster, billing and/or coding experience
• OR-
• An approved equivalent combination of education and experience

Preferred Qualifications:

• Bachelor’s degree in Business Administration, Health Care Administration, Nursing, Health Information Management or related healthcare concentration area
• Registered Health Information Technician(RHIT) or Registered Health Information Administrator(RHIA) and/or Clinical Coding Specialist(CCS) or Certified Professional Coder (CPC)

Knowledge/ Skills/ Abilities:

• Knowledge of CPT, HCPCS, and revenue codes
• Knowledge of medical terminology
• Must have strong attention to detail and enjoy working in a fast paced, collaborative team-based environment
• Prioritization skills, PC skills, communication skills, and problem-solving skills
• Outstanding customer service skills
• Experience with Microsoft Office(Outlook, Word, Excel, PowerPoint, Access, Teams, OneNote)
• Epic experience preferred