Senior Revenue Integrity PM/Analyst

Job Description

he Senior Analyst, Revenue Integrity reflects the mission, vision, and values of Northwestern Medicine (NM), adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Senior Revenue Integrity Analyst will support the Clinical Department and revenue cycle and perform charge capture analysis including annual price increase analysis. The Senior Revenue Integrity Analyst will be responsible for helping maintain the charge master to ensure compliance, accuracy, and consistency for Northwestern Medicine. The Senior Revenue Integrity Analyst will prepare analysis and support for management and the Clinical Departments.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:

Skills and Requirements

Required:

Bachelor's Degree in Business or related field or 10 years of equivalent experience with progressive advancement.

Strong communication, collaboration, and analytical skills

Proficiency with Microsoft office suite

5+ years in revenue cycle or revenue integrity role

Requires critical thinking, decisive judgment, high attention to detail and ability to work with minimal supervision

Advanced understanding of CPT, HCPCS, ICD-10, and third party billing requirements

Extensive knowledge and experience with Medicare/Medicaid regulations Preferred:

EPIC Certification (Resolute Charge Capture)

EPIC Certification (Clarity Report Data)

Master's degree in Healthcare Management, Business, MIS, Data Analytics, or related field

Beginner to Moderate knowledge of SQL and relational databases

RHIA preferred or related health care credential (e.g. Radiology technician, RN)