Hennepin Healthcare is a comprehensive healthcare system including a nationally recognized Level I Adult and Pediatric Trauma Center, acute care hospital, outpatient clinics, psychiatric program, home care, research institute, philanthropic foundation, and EMS services.
The Revenue Integrity Analyst role supports revenue integrity by maintaining the charge master, preventing and monitoring revenue leakage, ensuring compliance with regulations, and providing charging workflow support and education to clinical and ancillary staff. This position primarily works remotely during day shifts.
Responsibilities include maintaining charge master setup, ensuring compliant charge capture and billing, knowledge of ICD-10-CM, CPT/HCPCS coding and billing forms, monitoring regulatory changes, conducting cost center quality reviews, developing review projects with financial/compliance goals, communicating updates, collaborating across departments for revenue integrity, identifying and resolving reimbursement issues, and providing education and support to clinical and revenue cycle staff.
Qualifications require a bachelor's degree in Business or Healthcare Administration or related field plus 2 years healthcare reimbursement, financial management or coding experience or equivalent. Preferred: 3+ years related experience, Epic certification, RN, RHIA/RHIT, CCS, CPC, CRIP certifications.
Strong regulatory knowledge, analytical/problem-solving skills, communication, collaboration, and ability to work autonomously are essential.
Hennepin Healthcare offers competitive pay based on skills, licensure, education, experience, and an extensive benefits package including medical, dental, vision, disability insurance, retirement, PTO, tuition and certification reimbursement.
- Bachelor's degree in Business Administration, Health Care Administration, or related field
- 2 years experience in healthcare reimbursement, financial management, or coding (or equivalent combination of education and experience)
Preferred:
- Minimum 3 years directly related experience
- Epic Certification in HB Resolute, CDM and/or PB Resolute
- RN, RHIA, RHIT, CCS, CPC, CRIP certifications
Knowledge of third-party payer requirements, state and federal regulations, and government/commercial payer accurate billing
Extensive knowledge of CPT, HCPCS, and revenue codes
Understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting)
Strong analytical, problem-solving, communication, and collaboration skills
Ability to present to groups and work independently
Competitive pay based on skills, certifications, education and experience Extensive benefits program including medical, dental, vision, life, short and long-term disability insurance Retirement funds Paid time off Tuition reimbursement License and certification reimbursement (for benefit eligible positions)
Location
Minneapolis, Minnesota, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago