Position overview
The Senior Analyst, Revenue Integrity, Procedural Supply Governance supports the clinical department and revenue cycle through charge capture analysis, annual price increase analysis, and maintenance of the charge master to ensure compliance, accuracy, and consistency across Northwestern Medicine.
Key responsibilities
- Perform daily maintenance and quarterly audits of the EAP.
- Prepare files for the EAP database and required department builds.
- Identify charge capture opportunities across revenue-producing departments.
- Research and interpret billing and coding regulations and communicate changes to impacted teams.
- Lead quarterly audits on charge master data elements.
- Review departmental front-end charge capture tools for accuracy.
- Lead complex audits and prepare methodology for annual pricing and coding changes.
- Troubleshoot complex account errors and support resolution with Revenue Manager(s).
- Resolve charge capture and regulatory billing questions, including Provider-Based status rules, OPPS, CCI, and MUE.
- Serve as liaison between Revenue Cycle, IT, and clinical departments to link EPIC and the charge master.
- Research, compile, and analyze financial data for modeling and reporting.
- Mentor and support Revenue Integrity team members in an informal leadership capacity.
- Improve processes and systems to increase efficiency, accuracy, and data quality.
- Support finance, operations, and revenue cycle teams through special projects.
- Maintain confidentiality of financial and patient information.
Requirements & Qualifications
Minimum qualifications
- Bachelor's degree in Business or a related field, or 10 years of equivalent progressive experience.
- 5+ years of experience in a revenue cycle or revenue integrity role.
- Proficiency with Microsoft Office Suite.
- Advanced understanding of CPT, HCPCS, ICD-10, and third-party billing requirements.
- Extensive knowledge of Medicare and Medicaid regulations.
- Strong communication, collaboration, and analytical skills.
- Critical thinking skills, decisive judgment, high attention to detail, and ability to work with minimal supervision.
Preferred qualifications
- Epic certification in Resolute Charge Capture.
- Epic certification in Clarity Report Data.
- Master's degree in Healthcare Management, Business, MIS, Data Analytics, or a related field.
- Beginner to moderate knowledge of SQL and relational databases.
- RHIA preferred or related healthcare credential.
Benefits & Perks
Benefits and perks
- $10,000 tuition reimbursement per year ($5,700 part-time)
- $10,000 student loan repayment ($5,000 part-time)
- $1,000 professional development per year ($500 part-time)
- $250 wellbeing fund per year ($125 part-time)
- Matching 401(k)
- Medical, dental, and vision coverage
- Life insurance
- Annual employee salary increase and incentive bonus
- Paid time off and holiday pay
- Flexible work options
- Reimbursable Well-Being Fund
- Total rewards package
Location
Illinois, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
2 weeks ago