Under the direction of the Revenue Integrity Senior Manager, this position is responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection. This position is responsible to discover revenue issue root cause and to develop correction action plan and provide charge capture education. In addition, recommend modifications to established practices and procedures or system functionality as needed to support revenue cycle and manage implementation of the recommended changes. The Revenue Integrity Analyst will work with internal customers to ensure newly implemented workflows and procedures, support revenue cycle integrity and to achieve revenue cycles financial goals.
Reviews facility daily gross revenue reports for variances. Collaborates with department directors/managers to review variances. Escalates variances related to charge capture and collaborates with Revenue Cycle team for process improvements as indicated.
Provides concurrent and retrospective charge reviews across Banner facilities comparing clinical documentation to billed charges as directed by Revenue Integrity Manager, Compliance and facility requests. Identify charge capture opportunities, proactively identifying revenue opportunity and suggests improvements.
Monitor/Resolve nThrive charge capture work queues to identify opportunities for improvement in charge capture, clinical documentation and system enhancements to improve charge capture. Maintains a current knowledge of coding and documentation requirements as required for compliant billing.
Collaborates with Revenue Integrity Senior Manager to develop and generate standardized reporting templates for revenue integrity KPI dashboard and daily/weekly analytics.
Analyzes and quantifies all charge capture review results for reporting to departments, CFO and Revenue Integrity Continuous Improvement Forums.
Provides guidance and education to departments as a subject matter expert on compliant charge capture and charge reconciliation.
Provides education to departments on how to work charge rejection log to ensure all charge are captured to avoid missed revenue and reduce late charges.
Coordinate department requested CDM charge additions and deletions as applicable. Partners with Coding, Cerner Clinical Informatics and Revenue Cycle teams to support performance improvement opportunities.
Must possess a strong knowledge of business and/or healthcare as normally obtained through the completion of an Associates degree Applied Health Sciences, Finance or health related field.
Requires a level of knowledge normally gained over 2-3 years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area and have a good understanding of reimbursement methodologies. Requires strong abilities in researching, reading, interpreting and communicating financial data as related to charge capture, effective interpersonal skills, organizational skills and collaborative team working skills.
Must be able to work effectively with Microsoft office software, coding and billing software, Cerner, NextGen and MS4.
Additional related education and/or experience preferred.
Internal Number: 252237
About Banner Health
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.