Job Detail

Revenue Integrity Analyst I or II - Remote - Essentia Health
Duluth, MN
Posted: May 18, 2022 03:04

Job Description

Job Description:

Responsible for developing reporting and other analytics to identify opportunities or problems, process improvements and other system changes; responsible for Chargemaster files and fee schedules. Also serves as a technical resource to Level I Analysts, in maintaining the integrity of Chargemaster files and fee schedules through annual updates, periodic audits and ongoing review. Plans and performs moderately complex ad hoc queries and analyses for members of Revenue Services Management Team and Essentia Administration. Works collaboratively with Revenue Services staff, Finance and the Clinical Departments to continually analyze billing processes through developing trending, and modeling to ensure accurate and optimal revenue capture. Reviews facility site needs including occasional onsite visits to proactively provide service and support and assesses the charge master and billing system for opportunities for optimal revenue capture and to incorporate standardized workflows. May provide information and analysis with vendor proposals and negotiations related to charge master compliance reviews and maintenance tools. Serves as a technical resource in developing and documenting routine custom billing system tests, builds, and enhancements that will improve maintenance and/or prevent billing errors. Performs moderate complexity analysis and coordinates workflow implementations and support. Work Experience 1 years of experience in Information Services, Business, Healthcare or related field. Knowledge of clinical and business structures of a complex, integrated healthcare delivery system. Current working knowledge of trends, regulations, & issues concerning 3rd party payers In-depth understanding of fees and reimbursement relating to health care services. Knowledge of billing systems, especially Epic

Education Qualifications:

Bachelor's degree in information systems, finance, business or related field.

Licensure/Certification Qualifications:

None

FTE

1

Shift Rotation

Day Rotation (United States of America)

Shift Start Time

Days

Shift End Time

Days

Weekends

No

Effective December 1, 2019: Job offers are contingent upon successful completion of a post-offer assessment, including a urine drug screen, immunization review, proof of required vaccinations, and background check. Essentia Health is committed to maintaining a work environment free from the influence of illegal drugs and alcohol.

Essentia Health EEO:

Essentia Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, sexual identity, national origin, disability, protected veteran status, or any other characteristic protected by law.

Equal Employment Opportunity (EEO) at Essentia

It is our policy to afford EEO to all individuals, regardless of race, religion, color, sex, pregnancy, gender identity, national origin, age, disability, family medical history, genetic information, sexual orientation, marital status, military service or veteran status, culture, socio-economic status, status with regard to public assistance, and other factors not related to qualifications, including employees or applicants who inquire about, discuss, or disclose their compensation or the compensation of other employees or applicants, or membership or activity in a local human rights commission, or any other category as defined by law.



Job Detail


Company Overview

Essentia Health

Duluth, MN