Revenue Integrity Analyst, Charge Master & EPIC Liaison

Northwestern Memorial Healthcare; Illinois; On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Tuition reimbursement

Loan forgiveness

401(k) matching

Lifecycle benefits

Job summary

Northwestern Medicine is seeking a Sr. Revenue Integrity Analyst to support the Clinical Department and Revenue Cycle, maintaining the charge master for compliance and accuracy. The role involves price-change analysis, audits, and cross-department collaboration within the Northwestern Medicine system.

Responsibilities include leading audits, improving charge capture tools, and mentoring the Revenue Integrity Team. Strong communication, analytical, and regulatory knowledge are essential.

Qualifications

• Bachelor’s Degree in Business or related field or 10 years of equivalent experience.
• 5+ years in revenue cycle or revenue integrity role.
• Proficiency with Microsoft Office suite.
• Advanced understanding of CPT, HCPCS, ICD-10, and third-party billing requirements.
• Extensive knowledge of Medicare/Medicaid regulations.

Responsibilities

• Perform daily maintenance and quarterly audits of the EAP.
• Lead quarterly audits on the charge master data elements.
• Proactively identify charge capture opportunities in all revenue producing departments.
• Research and interpret billing and coding regulations, communicate to impacted areas, and apply changes that affect policy, financial, charge capture, patient care, billing, and coding operations.
• Liaison with Revenue Cycle, IT and clinical departments to link EPIC and charge master.
• Research, compile, and analyze financial data while organizing and maintaining database files for financial modeling.

Skills

Revenue integrity

Charge capture

Communication

SQL basics

Analytical skills

Education

Bachelor's degree in Business or related field

Tools

EPIC (Resolute Charge Capture)

EPIC (Clarity Report Data)

Job description

Northwestern Medicine is seeking a Sr. Revenue Integrity Analyst to support the Clinical Department and Revenue Cycle, maintaining the charge master for compliance and accuracy. The role involves price-change analysis, audits, and cross-department collaboration within the Northwestern Medicine system.

Responsibilities include leading audits, improving charge capture tools, and mentoring the Revenue Integrity Team. Strong communication, analytical, and regulatory knowledge are essential.