Fisher-Titus Medical Center
Revenue Integrity Analyst
This job is now closed
Job Description
- Req#: REVEN002779
Position Summary
As part of the Revenue Cycle department, the Charge Capture/Revenue Integrity Analyst is responsible for
performing and reviewing regular audits to support the maintenance and enhancement of Fisher-Titus's charge capture and overall billing functions. In addition, this position will explore potential charge capture workflow enhancements, consistent charge structure and rate setting according to industry standards and payer contracts, and denial trends. This role may also be involved in the design and implementation of proper data extraction and analytics processes across departments and service lines.
Essential FunctionsContinually reviewing fee schedules and charge logic and underpayment monitoring.
Conducts routine quality control audits of random sample cases; reports practices requiring corrective action to departmental leadership
Assists in overseeing Fisher-Titus's charge capture system to promote its accuracy and integrity across revenue-generating departments
Prepares departmental summaries that pinpoint root causes of charge/billing errors and conceptualize process changes for service line leaders; uses hospital denials data to support findings
May revisit departments and conduct further audits to gauge the efficacy of charge capture and other process flow recommendations
Collaborates with key constituents in different functional areas to create charge and billing reports that
meet the organization's requirements and trains individual departments on how to properly generate such reports
Participates in chargemaster (CDM) maintenance efforts by reviewing whether charges accurately reflect provided services/supplies and are consistent with industry best practices
Reviews changes in pricing, CPT codes, HCPCS codes, and revenue codes for accuracy and compliance with all applicable charging and billing guidelines
Recommends new categories for CDM inclusion based on audit findings and solicited staff suggestions
Fine-tunes and maintains current charge capture methodologies and tools with the revenue cycle department
Summarizes hospital- or health system-wide charge audit findings to executive staff, and/or the compliance committee in efforts to ensure all charges are properly captured and reimbursed
Collaborates with revenue integrity leadership to develop education plans to assist clinical service line leaders in achieving optimal reimbursement.
Liaise with corporate compliance, hospital operations, information services and technology, patient financial services, and other areas.
Qualifications
Education
Required
Associates
Preferred
Bachelors
About the company
Fisher-Titus Medical Center serves Norwalk and Huron County with the latest medical advancements, providing excellent and safe care close to home. Learn more about our Fisher-Titus doctors, medical care and facilities.
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