Revenue Integrity Analyst

Job Description

UW MEDICINE'S REVENUE INTEGRITY DEPARTMENT has an outstanding opportunity for a REVENUE INTEGRITY ANALYST WORK SCHEDULE 100% FTE Weekdays 100% Remote DEPARTMENT DESCRIPTION UW Medicine's Revenue Integrity Department is a shared services organization, which supports all of UW Medicine. UW Medicine entities include but are not limited to UW Medical Center (UWMC), Harborview Medical Center (HMC), UW School of Medicine, Northwest Hospital, UW Neighborhood Clinics (UWNC) and UW Physicians. POSITION HIGHLIGHTS Under the general direction of the Manager, Revenue Integrity, the Revenue Integrity Analyst, has primary responsibility for the on-going accuracy and integrity of charges. This position is responsible for service lines including Infusion, Nutrition, OB/GYN, Reproductive Care, Woman’s Health Clinic, Special Programs, Specialty Clinic, and Urology. This includes, but not limited to, knowledge and application of applicable laws and regulations, as well as working within UW Medicine to ensure process standardization and quality controls across assigned books of business. PRIMARY JOB RESPONSIBILITIES Assume Accountability and Monitor Key Metrics (Annual Charge Utilization, Monthly Revenue, Denials, Late/Missing Charges, administrative write-offs, and utilization by book of business 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 Implement and maintain reports and work lists using various software applications such as Epic (Cogito), BOE, Visio, Microsoft Project, Microsoft Excel, Microsoft Access Collaborates with internal customers to assess information requirements and develop special custom and production reports to meet those needs 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 REQUIREMENTS Knowledge and experience with Medicare/Medicaid and CMS regulations 4 years of Epic Experience and experience providing training to clinical operations Experience with ICD 10/ HCPCS/ CPT codes Coding credential CCS, COC, RHIT, RHIA or ability to obtain coding credentials within the 12 months of hire. At least 8+ years’ experience in the healthcare industry. Understanding of hospital billing or reimbursement and charge capture operations. Understanding of CMS regulations and ability to interpret healthcare guidelines and regulations. 4 years of Epic experience. Proven analytical, verbal, and written communications skills Equivalent experience may substitute for degree requirement 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 public by 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, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Become part of our team. Join our mission to make life healthier for everyone in our community. Compensation, Benefits and Position Details Pay Range Minimum: $81,780.00 annualPay Range Maximum: $122,676.00 annualOther 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 positionFTE (Full-Time Equivalent): 100.00%Union/Bargaining Unit: Not Applicable About the UW Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. 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 [email protected]. 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.