Revenue Integrity Analyst

🔥 1 hour ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $29 - $45 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Northwestern Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

💰 $25M Grant on 2018-06

Healthcare • Healthcare Insurance • Pharmaceuticals

Northwestern Medicine is a renowned healthcare provider offering a wide range of medical services, including COVID-19 and flu vaccinations, cutting-edge treatments, and pioneering surgical procedures. The organization is deeply involved in clinical research, contributing to significant medical advancements such as exploring the causes of diseases like lupus and breakthroughs in cancer treatment. With a robust network of hospitals and specialized care centers, Northwestern Medicine is dedicated to patient wellness, community impact, and medical education. They emphasize accessibility, patient safety, and convenience through services like telehealth, financial assistance, and multilingual support. Whether it's immediate care, advanced procedures, or multidisciplinary care for complex conditions, Northwestern Medicine is committed to leading the way in healthcare innovation and patient-centered care.

📋 Description

• 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 delivers concrete, relevant results. • Displays qualities of resiliency and resourcefulness while thinking strategically and practically when problem solving. • Supports the finance, operations and revenue cycle teams through special projects. • 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.

🎯 Requirements

• Bachelor's 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

🏖️ Benefits

• Tuition reimbursement • Loan forgiveness • 401(k) matching • Lifecycle benefits