Revenue Integrity Analyst

🕒 Julho 7

🌽 Illinois – Remoto

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💵 $29 - $45 / hora

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🧐 Analista

👻 Score fantasma 15%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Northwestern Medicine

Northwestern Medicine

10.000+ funcionários

🏥 Saúde

⚕️ Seguro de Saúde

💊 Farmacêutico

💰 $25.000.000 Grant em 2018-06

Healthcare • Healthcare Insurance • Pharmaceuticals

A Northwestern Medicine é um renomado provedor de saúde que oferece uma ampla gama de serviços médicos, incluindo vacinas contra COVID-19 e gripe, tratamentos de ponta e procedimentos cirúrgicos pioneiros. A organização está profundamente envolvida em pesquisa clínica, contribuindo para avanços médicos significativos, como a exploração das causas de doenças como lúpus e avanços no tratamento do câncer. Com uma robusta rede de hospitais e centros de cuidados especializados, a Northwestern Medicine é dedicada ao bem-estar dos pacientes, impacto comunitário e educação médica. Eles enfatizam a acessibilidade, segurança do paciente e conveniência por meio de serviços como telemedicina, assistência financeira e suporte multilíngue. Seja atendimento imediato, procedimentos avançados ou cuidados multidisciplinares para condições complexas, a Northwestern Medicine está comprometida em liderar o caminho na inovação em saúde e cuidados centrados no paciente.

Descrição

• Reflects the mission, vision, and values of Northwestern Medicine • Adheres to the organization's Code of Ethics and Corporate Compliance Program • Complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards • Work directly with the Revenue Integrity Senior Analyst to support the Clinical Department and revenue cycle and perform charge capture analysis including annual price increase analysis • Maintain the charge master to ensure compliance, accuracy, and consistency for Northwestern Medicine • Perform daily maintenance and quarterly audits of the EAP • Prepare necessary files for the EAP database of required department builds • Identify charge capture opportunities or compliance issues in revenue producing departments • Research billing and coding regulations • Communicate and assist in implement any necessary changes to impacted area that affect policy, financial, charge capture, patient care, billing, and coding operations • Assist in quarterly audits on the charge master data elements • Review departmental front-end charge capture tools for accuracy • Take necessary action to ensure accurate charging on patient accounts • Support complex audits and prepares methodology for annual pricing review and coding changes • Liaison with Revenue Cycle, IT and clinical departments to link EPIC and charge master • Consistently deliver concrete, relevant results • Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, adopting and implementing industry best practices, and participating in professional societies • Protect operations by keeping financial and patient information confidential • Support the finance operations of Northwestern Medicine

🎯 Requisitos

• Bachelors Degree in Business or related field or 10+ years of equivalent experience with progressive advancement. • 3+ years of relevant experience • Excellent communication, collaboration, analytical, and accounting skills • High level of precision and attention to detail • Expert knowledge of Microsoft Office Suite • Moderate / Advanced understanding of CPT coding and third party billing requirements • Knowledge and experience with Medicare/Medicaid regulations

🏖️ Benefícios

• tuition reimbursement • loan forgiveness • 401(k) matching • lifecycle benefits

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