Revenue Integrity Analyst Associate

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Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County.

Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.

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JOB DETAILS

Department: Revenue Integrity

FTE: 1.00 (80 hours per pay period)

Workdays: Monday - Friday

Shift(s): Days

Shift Length: 8 hours

Location: Remote*

• Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin.

Purpose of this position: Responsible for ensuring complete charge capture for services provided; including, but not limited to: daily charge reconciliation assistance, audits, data entry and missing charge follow-up, assisting with chargemaster maintenance and establishing procedures to support above.

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

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QUALIFICATIONS

Minimum Qualifications:

• Post high school education
• At least 1 year of prior chargemaster, billing and/or coding experience
• OR-
• An approved equivalent combination of education and experience

Preferred Qualifications:

• 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)

Knowledge/ Skills/ Abilities:

• 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)
• Epic experience preferred

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You''ve made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients'' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer.

Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.

'',''!*!Total Rewards Package:

• We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.
• We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; and Tuition reimbursement.
• For a complete list of our benefits, please visit our career site on why you should work for us.

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