Revenue Integrity Analyst

1.0 FTE, day shift

Starting wage - $34.33 - $42.91 (based on experience)

At Olmsted Medical Center, we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, Olmsted Medical Center offers the following for employees who are employed at a 0.5 FTE or higher.

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Basic Life Insurance
• Tuition Reimbursement
• Employer Paid Short-Term Disability and Long-Term Disability
• Adoption Assistance Plan

Qualifications:

• A bachelor's degree in business, finance, accounting, or related field
• Minimum of five years of healthcare experience preferred
• Working knowledge of financial statements and ability to analyze financial information and determine financial impact of possible changes
• Ability to integrate and/or manipulate data to assure compliance, maximize reimbursement, and provide "what if" scenarios
• Ability to take initiative by identifying problems, conceptualizing resolutions to the problems, and implementing change
• Possesses strong Microsoft Excel application skills
• Strong writing, communication, and reporting skills
• EPIC certifications or experience preferred

Job Responsibilities:

• Responsible for ensuring the accuracy and integrity of the revenue Charge Master across revenue generating departments.
• Develops tools designed to track and identify potential areas of lost revenue.
• Responsible for developing, maintaining, and enhancing hospital charge master and clinic fee schedule.
• Co-chairs the Charge Master Committee.
• Reviews the charge structure of revenue-generating departments to assure that charges accurately reflect services and supplies provided, and are structured consistent with current industry-accepted practices.
• Maximizes net revenue through recognition of terms and conditions of payer contracts.
• Makes recommendations to OMC Pricing Strategy Group and Contract Management Committee regarding terms and conditions and charge increases with consideration of improving net revenue from third party payers.
• Reviews and monitors contract build in EPIC
• Oversees implementation, maintenance, and enhancement of hospital charge master and clinic fee schedule.
• Reviews and recommends changes in pricing, (CPT codes, HCPCS codes, and revenue codes reviewed with input from appropriate coding personnel) for accuracy and compliance to all applicable billing guidelines and optimization of reimbursement.
• Acts as a resource to revenue-generating departments in establishing new charges.
• Determines the reimbursement impact of CPT revisions as well as charge additions and deletions.
• Participating member of Revenue Cycle Regulatory Change Committee.
• Within Finance department, assists with cost accounting and various revenue, expense, and budget analyses.
• Assists with and backs up various EPIC builds and workflows.
• Other duties as assigned.