Revenue Integrity Analyst – 40 hrs/wk Billing Department
Job Summary: The Revenue Integrity Analyst position reports to the Chief Financial Offier and is responsible for the development, management and analysis of Revenue Cycle initiatives. This will include supporting over combined $150M in gross revenue through the extraction and analysis of multi-faceted data components impacting all areas of Revenue Cycle, including but not limited to charge capture, late charges, accounts receivable, net revenue, bad debt, denials, and payor analysis (Medicare, Mainecare, Commercial, etc.) The Revenue Integrity Analyst will collaborate with other key functional areas including Departmental Leaders and Billing Manager and Teams to ensure effective and efficient processes for optimal revenue cycle outcomes. This position may have opportunities to work on emerging revenue cycle issues and special projects such as Charge Audit analysis and reporting, Process Improvement, Charge Description Master, Regulatory Compliance and other Revenue Cycle initiatives. The ideal candidate will be career driven and focused on obtaining new knowledge and skills.
- Ensure all business is conducted in an ethical, professional and timely manner.
- Maintain a working knowledge of the CPSI system for various analysis.
- Maintain internal controls.
- Assist the Chief Financial Officer in special revenue projects as needed/requested.
- Supports the revenue cycle team in financial analysis and operations improvement for Cary Medical Center and Pines Health Services.
- Participates in special revenue cycle projects such as Charge Capture Audit, Late Charges, and Compliance Initiatives.
- Extracts, analyzes and produces data through the creation of reports from CPSI and other sources.
- Provides timely and accurate analysis and necessary communication to enhance revenue cycle process outcomes.
- Researches a variety of complex and/or regulatory issues impacting revenue cycle and recommends processes to enhance financial and quality performance while meeting compliance requirements.
- Prepares reports evaluating the trending of accounts receivable, bad debt, cash collected, days A/R, late charges and other revenue cycle measures.
- Assists the development, automation and maintenance of key indicators and metrics.
- Performs research on best practices and national benchmarks in the revenue cycle for the healthcare industry.
- Contributes to the successful implementation of revenue cycle projects.
- Performs other duties and special projects as assigned
- Completes work within designated time.
- Demonstrates the ability to work independently and is accountable for own actions.
- Shows initiative and follow-through.
- Demonstrates productivity at work (makes good use of down time).
- Performs duties willingly and enthusiastically.
- Returns to work from breaks, meals, meetings and in-services in a timely fashion
- Takes appropriate actions when safety issues are identified (reports hazardous situations to appropriate person, removes malfunctioning equipment, etc.).
- Follows recommendations designed to reduce worksite injuries (proper body mechanics, personal protective gear, safe sharps, etc.).
- Demonstrates the ability to be flexible, organized and function under stressful situations.
- Demonstrates judicious use of supplies.
- Adheres to the “culture” of safety and the no-life manual lift policy.
- Complies with local, state, and federal laws and regulations.
- Reports to work on time and as scheduled.
- Wears identification while on duty.
- Uses computerized punch time system correctly.
- Adheres to dress code, appearance is neat and tidy.
- Maintains and ensures patient confidentiality at all times.
- Complies with all organizational policies regarding ethical business practices.
- Maintains regulatory requirements (i.e. licensing, certification), if applicable.
- Attends a minimum of 75% of staff meetings annually, reviews staff meetings minutes of missed meetings.
- Parks in designated employee areas, allowing accessible parking for the elderly, ill and visitors.
- Does not exceed 3% of unscheduled absences.
- Must be flexible to work occasional evenings and weekends.
- Must be able to work during the week, weekends, or evenings as the need arises.
- Must be able to travel throughout the hospital and various locations in the service area.
Education, Skills, Experience Requirements:
- Must be able to organize, prioritize work and meet deadlines.
- Must have adequate interpersonal, writing and telephone skills.
- Minimum of a Bachelor’s degree in Business or Finance and Master’s Degree preferred.
- A wide degree of creativity and latitude is expected.
- Minimum of 2 years’ experience in hospital financial and operational analysis.
- High degree of organizational and interpersonal skills
- Ability to work with community coalitions and teams.
- Ability to prioritize work to meet deadlines.
- Ability to work independently with minimal supervision as well as ability to work in a team environment.
- Proficient in Microsoft Office products including Excel, Word and PowerPoint.
- Ability to maintain a budget.