Sr. Revenue Integrity Analyst at Northside Hospital Inc.

Brookhaven, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

22 May, 26

Salary

0.0

Posted On

21 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Charge Master Setup, Compliance Monitoring, Revenue Cycle Performance, Coding Requirements, Regulatory Review, Auditing, Denial Resolution, Mentoring, Data Analysis, Troubleshooting, Communication Skills, Independent Work, Microsoft Office, Initiative, Collaboration

Industry

Hospitals and Health Care

Description

Overview Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsibilities Independently develops strategies, design solutions and establishes processes which contribute to team collaboration and department satisfaction. Focus on charge master set up and maintenance to comply with federal, state and hospital regulations in addition to monitoring charge activities and compliance. Identifies trends, collaboratively works with leadership to help improve the revenue cycle performance within the hospital and/or Ambulatory Clinics. PRIMARY DUTIES AND RESPONSIBILITIES Reviews compliance regulations and coding requirements (primarily Medicare) and incorporates these changes into the Chargemaster. Autonomously educates Department Managers on compliance and coding regulations. Independently coordinates with Department Managers on new procedures being performed to assure the charges are set up appropriately and timely in the Chargemaster and the staff responsible for entering charges are educated. Coordinates the set-up of Chargemasters for new Departments. Assists in the development of Hospital System Policies relating to charge entry, price setting, and developing new charge item. Conducts audits to ensure all documented charges are captured appropriately and timely and performs audits to review the charges are being coded correctly. Coordinates with the business office to resolve any denial issues related to the Chargemaster. Provides guidance, support and mentoring to Revenue Integrity Analysts and Coding Analysts. Monitors revenue by trending, troubleshooting and analyzing data such as charge lag, late charges, denials and/or wRVU volumes. Collaborate with other Northside departments and leadership as it relates to the revenue cycle and betterment of Northside. Assists Revenue Integrity Coordinator in other projects and analyses. Qualifications REQUIRED B.S. degree in Nursing, Health Information Management, Healthcare Administration or Business Administration; or Associates Degree with 8 years of hospital charge master experience in lieu of a bachelor’s degree. Must have a coding or nursing credential (RHIA, RHIT, CCS, RN) or a financial background. Must have minimum of 5 years hospital Charge master experience. Demonstrated communication skills and an ability to work independently and deal effectively with various types of personnel. Knowledge of Microsoft Office products. Self-Motivated leader with a collaborative mindset, driven to take initiative and build the department’s reputation of quality service. PREFERRED Three to five years Chargemaster experience in a hospital setting. Work Hours: 8AM-5PM Weekend Requirements: No On-Call Requirements: No

Responsibilities

The analyst will independently develop strategies and processes focusing on charge master setup and maintenance to ensure compliance with federal, state, and hospital regulations, including Medicare. Key duties involve reviewing regulations, educating managers on compliance, coordinating new procedure charge setups, conducting audits, and resolving denial issues related to the charge master.