Revenue Integrity Analyst Associate

Summary

Hennepin Healthcare is an integrated healthcare system that includes hospitals, clinics, and related healthcare services. The Revenue Integrity Analyst Associate ensures complete and accurate charge capture by performing charge reconciliation, audits, data entry, missing-charge follow-up, and chargemaster maintenance. The role also supports billing issue resolution, staff education, reporting, and process improvement.

Responsibilities

• Understands chargemaster setup and assists in the review and maintenance of the chargemaster
• Maintains basic knowledge of CPT/HCPCS coding and revenue codes
• Completes accurate and timely charge capture as necessary by reviewing clinical documentation and entering appropriate charges
• Audits billing process to ensure reasonableness and accuracy of information and charges. Distributes communication on charge-related issues to the proper department(s)
• Provides input to team and leadership regarding deficits in documentation which affect accurate charges
• Assists with account fixes and resolves incomplete charging information as appropriate
• Manages daily workqueues to resolve bill holds for charge-related issues and assists in the resolution of billing edits
• Assists in reporting findings from workqueues, including erroneous or missing charges and follow-up analysis
• Acts as first point of contact for clinical staff to assist with billing/charging questions and process improvement around charge capture. Educates staff to ensure coding and billing compliance and to reduce missed revenue opportunities
• Trains, monitors and supports charge reconciliation processes in clinical areas
• Assists in the development and implementation of recommendations and actions plans to minimize late or missing charges
• Collaborates with other departments to identify/fix errors and improve denial rates for charges
• Performs other duties as assigned

Skills

• Post high school education
• At least 1 year of prior chargemaster, billing and/or coding experience
• An approved equivalent combination of education and experience
• Knowledge of CPT, HCPCS, and revenue codes
• Knowledge of medical terminology
• Must have strong attention to detail and enjoy working in a fast paced, collaborative team-based environment
• Prioritization skills, PC skills, communication skills, and problem-solving skills
• Outstanding customer service skills
• Experience with Microsoft Office (Outlook, Word, Excel, PowerPoint, Access, Teams, OneNote)
• Bachelor's degree in Business Administration, Health Care Administration, Nursing, Health Information Management or related healthcare concentration area
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) and/or Clinical Coding Specialist (CCS) or Certified Professional Coder (CPC)
• Epic experience preferred

Qualifications

Must Haves

• Post high school education
• At least 1 year of prior chargemaster, billing and/or coding experience
• An approved equivalent combination of education and experience
• Knowledge of CPT, HCPCS, and revenue codes
• Knowledge of medical terminology
• Must have strong attention to detail and enjoy working in a fast paced, collaborative team-based environment
• Prioritization skills, PC skills, communication skills, and problem-solving skills
• Outstanding customer service skills
• Experience with Microsoft Office (Outlook, Word, Excel, PowerPoint, Access, Teams, OneNote)

Nice to Haves

• Bachelor's degree in Business Administration, Health Care Administration, Nursing, Health Information Management or related healthcare concentration area
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) and/or Clinical Coding Specialist (CCS) or Certified Professional Coder (CPC)
• Epic experience preferred

Benefits

• Remote work arrangement
• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• Short-term disability insurance
• Long-term disability insurance
• Retirement funds
• Paid time off
• Tuition reimbursement