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Hennepin Healthcare

Revenue Integrity Analyst Associate

minneapolis, MN

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Job description

JOB DETAILS Department: Revenue Integrity FTE: 1.00 (80 hours per pay period) Workdays: Monday - Friday Shift(s): Days Shift Length: 8 hours Location: Remote* *Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin.

Purpose of this position: Responsible for ensuring complete charge capture for services provided; i ncluding, but not limited to: daily charge reconciliation assistance, audits, data entry and missing charge follow-up, assisting with chargemaster maintenance and establishing procedures to support above.

RESPONSIBILITIES:

Understands chargemaster setup and assists in the review and maintenance of the chargemaster

Maintains basic knowledge of CPT/HCPCS coding and revenue codes

Completes accurate and timely charge capture as necessary by reviewing clinical documentation and entering appropriate charges

Audits billing process to ensure reasonableness and accuracy of information and charges.

Distributes communication on charge-related issues to the proper department(s)

Provides input to team and leadership regarding deficits in documentation which affect accurate charges

Assists with account fixes and resolves incomplete charging information as appropriate

Manages daily workqueues to resolve bill holds for charge-related issues and assists in the resolution of billing edits

Assists in reporting findings from workqueues, including erroneous or missing charges and follow-up analysis

Acts as first point of contact for clinical staff to assist with billing/charging questions and process improvement around charge capture. Educates staff to ensure coding and billing compliance and to reduce missed revenue opportunities

Trains, monitors and supports charge reconciliation processes in clinical areas

Assists in the development and implementation of recommendations and actions plans to minimize late or missing charges

Collaborates with other departments to identify/fix errors and improve denial rates for charges

Performs other duties as assigned

QUALIFICATIONS Minimum Qualifications:

Post high school education

At least 1 year of prior chargemaster, billing and/or coding experience

OR-

An approved equivalent combination of education and experience

Preferred Qualifications:

Bachelor’s degree in Business Administration, Health Care Administration, Nursing, Health Information Management or related healthcare concentration area

Registered Health Information Technician(RHIT) or Registered Health Information Administrator(RHIA) and/or Clinical Coding Specialist(CCS) or Certified Professional Coder (CPC)

Knowledge/ Skills/ Abilities:

Knowledge of CPT, HCPCS, and revenue codes

Knowledge of medical terminology

Must have strong attention to detail and enjoy working in a fast paced, collaborative team-based environment

Prioritization skills, PC skills, communication skills, and problem-solving skills

Outstanding customer service skills

Experience with Microsoft Office(Outlook, Word, Excel, PowerPoint, Access, Teams, OneNote)

Epic experience preferred

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Worksite address

minneapolis, MN, 55425, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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