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 plays a crucial role in maintaining and implementing Charge Description Master (CDM) initiatives and processes. This position focuses on ensuring the accuracy and integrity of the CDM, compliance with third-party payor requirements, and improving net revenue while reducing denials. The analyst will analyze data, identify root causes of issues, and facilitate operational changes to enhance revenue cycle integrity.

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)