Revenue Integrity Analyst

$71,552 - $107,328/Yr

Fred Hutchinson Cancer Center - Seattle, WA

Full-time - Entry Level

Seattle, WA

About the position

The Revenue Integrity Analyst at Fred Hutchinson Cancer Center is responsible for maintaining and implementing Charge Description Master (CDM) initiatives to ensure accuracy, compliance, and revenue cycle integrity. This role involves analyzing data to identify issues, facilitating operational changes, and ensuring adherence to third-party payor requirements, ultimately aiming to improve net revenue and reduce denials.

Responsibilities

• Deliver, monitor and maintain a consistent and accurate CDM in compliance with both state, internal and federal regulatory agencies
• Updating CDM (charge description master--CPT codes, standard/research prices, etc.) to ensure optimal facility fees and maximize collections
• Reviews changes in pricing, CPT codes, HCPCS codes, and revenue codes for accuracy and compliance with all applicable charging and billing guidelines
• Provides coding and pricing estimates requested by internal and or external customers
• Maintains Fred Hutch coding and pricing documents for customer service, patient navigator, pricing transparency and PFS
• Monitors and resolves interfaced revenue system charges in EPIC WQ's
• Performs charge reconciliation process to ensure that charges are captured and assist with charge capture entry
• Provide communication and education to clinical departments regarding annual and quarterly CPT/HCPCS changes and additions
• Conducts special projects and special studies to facilitate revenue management as required for system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc.
• Reviews, monitors, and facilitates implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements
• Monitors CMS and commercial payor policies. Prepares and implements action plans with follow-up to departments regarding policy changes
• Assists with the development and implementation of policies and procedures related to the CDM/ EAP process
• Other duties as assigned

Requirements

• High school diploma or equivalent
• Minimum of two years CDM, health-care finance, or Revenue Cycle experience
• Working knowledge of CPT, ICD10, HCPC codes
• Strong analytical and statistical skills
• Ability to interpret complex data
• Proficient in the use of MS Office Suite
• Ability to apply critical thinking and analytic skills to troubleshoot and problem solve
• Ability to work independently and as part of a team as the situation requires
• Knowledge of CMS and Commercial policies and requirements
• Knowledge of Ambulatory Payment Classifications
• Ability to communicate verbally in person, on the phone and in writing in a clear, concise and professional manner

Nice-to-haves

• Certified RHIA, RHIT, CCS, CCS-P, CPC or COC
• Epic HB experience strongly preferred.

Benefits

• Medical/Vision
• Dental
• Flexible spending accounts
• Life insurance
• Disability insurance
• Retirement plans
• Family life support
• Employee assistance program
• Onsite health clinic
• Tuition reimbursement
• Paid vacation (12-22 days per year)
• Paid sick leave (12-25 days per year)
• Paid holidays (13 days per year)
• Paid parental leave (up to 4 weeks)
• Partially paid sabbatical leave (up to 6 months)