Revenue Integrity Analyst

UMC Health System•Richmond, KY

2d•Onsite

About The Position

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. Job Summary The Revenue Integrity Analyst is responsible for managing post payment audits including RAC, third party denials, chargemaster creation and maintenance, and hold bills assigned as they relate to revenue integrity Reports to: Job Specific Responsibilities Daily assignments may include but are not limited to: • Enter charge; Maintain charge related dictionaries within GE Centricity and other systems; Monitor charge usage and coordinate with requesting departments to ensure compliance • Work hold bills, push report, and error work lists daily and coordinate any issues with relevant department(s) • Coordinate and assist with external audit and records request(s) • Initiate and complete internal charge audits; Coordinate and participate in all year end charge reviews with clinical departments • Ensure all required CPT and charge code changes are complete in GE Centricity and all clinical systems • Monitor and facilitate denials and appeals processes; Assist with identifying trends and solutions, providing education as necessary to prevent further denials • All other related assigned duties Education and Experience • High School Diploma or GED • + 2 years medical and insurance terminology Required Licensures/Certifications/Registrations N/A Skills and Abilities • Previous experience in patient accounting is a plus • Effective communication both verbal and written communication skills • Customer relations skills • Knowledge of third party healthcare payer rules and regulations Interaction with Other Departments and Other Relationships This position will consistently interact with revenue generating departments throughout UMC Physical Capabilities Work is of medium demand; walking, sitting and standing most of the time while on-duty. Occasional lifting is required. Adequate hand/eye coordination and fine motor skills required for typing. Talking and hearing is essential in dealing with co-workers and customers. Environmental/Working Conditions Work in a well-lighted, heated and ventilated building. Hours may vary to accommodate the needs of the department. UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Request for accommodations in the hire process should be directed to UMC Human Resources. Benefits: Resilience program Emotional Physical Spiritual Financial Career Community On-Site Professional Counselors (EAP) Discounted Pharmacy Cost Cash Retention Bonus (only one in our region) Retirement Benefits w/Employer Match PTO & Extended Illness Medical, Dental, & Vision Insurance And more at: https://apps.umchealthsystem.com/documents/wellness.pdf UMC Vision, Mission and Standards: Vision: To Serve Our Patients in the Best Teaching Hospital in the Country Mission Statement: Service is our passion. We serve by providing safe, high quality care to all, achieving excellent financial performance, and training tomorrow’s healthcare professionals. Standards of Excellence: Attitude, Communication, Responsiveness, Compassion, Teamwork, Ownership, Safety and Respect About UMC Magnet Designated 501 licensed beds 62 Site locations Regions only Level I Trauma Center Regions only BICU DNV accredited Primary teaching hospital for the Texas Tech University Health Sciences Center (TTUHSC) Ranked as one of the Best Places to Work in Texas by Texas Monthly UMC Physicians Culture, Vision, Mission, and Standards: Culture: Service is Our Passion Vision: The best place to work and the best place to receive healthcare. Mission Statement: To improve the quality of life for our community by providing the best patient experience for every patient. Standards: Teamwork, Respect, Accountability, Compassion, Kindness About UMCP 35 Practice Locations – private practices and urgent care centers Over 125 physicians and advanced practice providers Ranked as “One of the Best Places to Work in Texas” by Texas Monthly Employee Engagement Score of 96% measured by Press Ganey Associates

Requirements

High School Diploma or GED
+ 2 years medical and insurance terminology
Effective communication both verbal and written communication skills
Customer relations skills
Knowledge of third party healthcare payer rules and regulations

Nice To Haves

Previous experience in patient accounting is a plus

Responsibilities

Enter charge
Maintain charge related dictionaries within GE Centricity and other systems
Monitor charge usage and coordinate with requesting departments to ensure compliance
Work hold bills, push report, and error work lists daily and coordinate any issues with relevant department(s)
Coordinate and assist with external audit and records request(s)
Initiate and complete internal charge audits
Coordinate and participate in all year end charge reviews with clinical departments
Ensure all required CPT and charge code changes are complete in GE Centricity and all clinical systems
Monitor and facilitate denials and appeals processes
Assist with identifying trends and solutions, providing education as necessary to prevent further denials
All other related assigned duties