Analyst II - Revenue at HonorHealth

Phoenix, Arizona, United States -

Full Time

Start Date

Immediate

Expiry Date

04 May, 26

Salary

0.0

Posted On

03 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Charge Description Master, Revenue Analysis, Data Mining, Financial Analysis, Compliance Monitoring, Project Management, Auditing, Healthcare Billing, Cost Analysis, Forecasting, Decision Support, Team Leadership, Problem Solving, Communication, Collaboration, Analytic Applications

Industry

Hospitals and Health Care

Description

Overview Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 17,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Revenue Analyst II is responsible for the development, implementation, maintenance and audit functions of a standard system-focused hospital Charge Description Master (CDM). The position will deliver, monitor and maintain a consistent accurate CDM that is compliant with regulatory guidelines; conduct pricing updates and work closely with team members to prepare and submit the annual rate filing with the State of Arizona in accordance with State guidelines; provide advice and support to facility staff as needed; and maintain the CDM to ensure accurate charge capture and will work with relevant departmental staff to ensure Charge Master information is properly routed to any and all systems dependent upon charge data. The position works in a cooperative team environment to provide value to internal and external customers. The position will work closely with the Revenue Services team to conduct departmental process improvement projects for the benefit of charge capture and revenue integrity. Aspects of the role will require extensive data mining and abstracting of financial and clinical information from various decision support tools for, but not limited to, charge master support, revenue and reimbursement analyses, and ad hoc reporting needs of department. Essential Functions Acts as Team Leader and/or Project Manager for special projects related to CDM and reimbursement data. Serves as liaison between Revenue Services and support areas, Department Managers and special task forces/committees representing CDM and charge capture issues. Serves as internal coordinator for projects performed by consultants and external parties for CDM issues. Coordinates internal audits related to charge capture departmental issues, defense audits and or patient complaint audits. Uses appropriate analytic applications and decision support tools in conjunction with Excel and Access, to abstract information for financial analysis and decision support purposes in the area of reimbursement, including forecasting/trend analysis, cost analyses, financial projections, and other duties as may be identified to assist department and System decision making. Familiarity with CDM auditing & maintenance tools (i.e. Craneware) Analyzes patient billing system requirements, and Charge Master Application validation and maintenance with respect to the CDM. Research and resolve revenue and billing issues and develop corrective action plans when necessary. Assists and works with PFS, Information Systems, Decision Support, Department Managers and others in the design and modifications of system, reports and conversion requirements. Monitor compliance initiatives related to CDM data. Track OIG, FBI, Attorneys General, Fiscal Intermediary/Carrier and other regulatory agencies compliance investigatory activities and published findings that may be correlated to CDM data billed. Serve as a team member and resource for compliance information on regulations applicable to healthcare providers. Interact with leadership, department managers and facility staff members regarding CDM compliance and related CDM financial issues. Develops, implements, maintains and performs audit functions to the standard system focused charge description master (CDM). Responsible for making CDM related decisions that require significant analysis and investigation with solutions requiring significant original thinking. Responsible for using broad discretion to define and execute CDM related activities with freedom to proceed on major assignments. Assist as a team member in the development, implementation and improvement of internal controls needed to assure and maintain sound billing practices. Education Bachelor's Degree or 4 years' work related experience in business or healthcare field - Required Experience 5 to 7 years of progressive responsibility in CDM Maintenance and revenue analysis. - Preferred 2 years related experience - Required Other Current knowledge of the Revenue Flow in healthcare financial systems. Comprehensive experience with inpatient and outpatient billing requirements of UB-04 and CMS 1500 billing forms. - Preferred Licenses and Certifications

Responsibilities

The Revenue Analyst II is responsible for the development, implementation, maintenance, and audit functions of a standard system-focused hospital Charge Description Master (CDM). This role involves conducting pricing updates, supporting facility staff, and ensuring accurate charge capture while working closely with the Revenue Services team on process improvement projects.