Revenue Integrity Specialist — Epic CDM & Billing

Talentify; 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 all payments are accurately posted. The Analyst coordinates, implements, and maintains the Epic Charge Description Master (CDM) initiatives with a focus on accuracy and regulatory compliance.

This role supports revenue producing departments with charge capture, charge reconciliation, billing and compliance issues to optimize cash flow and ensure proper revenue

Qualifications

• Required: Associates - Healthcare- OR -Associates - Related Field
• A minimum of 3 years Related Experience
• Proficiency in reading, writing, and speaking English

Responsibilities

• Coordinates, implements, and maintains the EPIC Charge Description Master for AHS and Community Connect partners ensuring compliance with payer regulations and guidelines.
• 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.

Education

Associates - Healthcare- OR -Associates - Related Field

Job description

Altru Health System in Grand Forks, ND is seeking a Revenue Integrity Analyst to reconcile the accounts receivable ledger and ensure all payments are accurately posted. The Analyst coordinates, implements, and maintains the Epic Charge Description Master (CDM) initiatives with a focus on accuracy and regulatory compliance.

This role supports revenue producing departments with charge capture, charge reconciliation, billing and compliance issues to optimize cash flow and ensure proper revenue