Serves as subject matter expert (SME) of Epic charge capture methodologies and helps investigate and solve charging issues and provide charge capture recommendations to clinical departments and hospital staff.Executes work plans to correct identified deficiencies. Work and analyze billing error and denial data to identify root causes.Develops, maintains, and implements Revenue Integrity and CDM Management policies, procedures, and training materials.Collaborates with Revenue Operations, Compliance, Budget Offices, Patient Accounts, Health Information Services, Internal Audit, and other Revenue and Finance departments on revenue management initiatives, across all entities.Participates in complex projects related to revenue cycle initiatives.Provides guidance, communication, and education on correct charge capture, coding, and billing processes to multiple clinical departments and entities.Assesses the accuracy of all charging vehicles, including Epic and ancillary clinical systems and dictionaries, encounter forms, and other charge documents.Analyzes changes to coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars, and publications.Evaluates current charging processes to ensure appropriate capture and reporting of revenue and compliance with government and third-party payer requirements, to ensure consistency across all entities.With responsibility for all cost centers within service lines and acting with a high degree of autonomy, performs reviews and makes updates related to Charge Description Master (CDM) integrity.Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, and superb analytic and organizational skills. Reporting to the Revenue Integrity Manager, the Revenue Integrity Analyst plays an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions, and interdependencies from the provision of patient care to final bill generation.
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