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Job Details

Financial Analyst Planner Specialist Analyst- Revenue Integrity Patient Accounting Job ID 128220

Company name
University of Illinois

Location
Chicago, IL, United States

Employment Type
Part-Time

Industry
Finance, Planning, Accounting

Posted on
Mar 25, 2020

Valid Through
Jul 08, 2020

Profile

Description:

Job Summary:

UI Health is seeking a Finanical Analyst Planner Specialist (Revenue Integrity Analyst) to join the Patient Accounting - Revenue Integrity team.

The Revenue Integrity Analyst is responsible for department charge capture processes and controls under the direction of the Revenue Integrity Manager. This position acts as the liaison between Patient Accounting and other revenue generating departments to ensure charging practices follow Federal and State billing regulations, while simultaneously ensuring appropriate, optimal reimbursement. This position is responsible for improving charge capture accuracy through workflow assessments, coordinating coding reviews, process improvements, and generating reports. The Revenue Integrity Analyst works collaboratively with leadership to assist in the development and implementation of process enhancements or initiatives that enhance charge capture accuracy and reimbursement. This position oversees, understands, and communicates departmental charging processes, including the electronic health record charge links to the CDM and charging processes. This position also works closely with Information Services to complete and test charge-related build by having a clear understanding of the charging workflows and triggers built within the electronic health record.

Duties:

Charge Description Master (CDM):

Develops and maintains procedures and educational materials for department management regarding the following:

o CDM update and maintenance procedures for billing codes and pricing

o Procedures for CDM “new item” requests

o Department specific changes to charging/billing regulations affecting the CDM

o Ongoing education and updating of charge reconciliation procedures

Monitors Medicare charge requirements and maintains knowledge of all third-party payer guidelines, as well as federal and state regulations.

Acts as a liaison between system leaders and CDM for regulatory updates, changes, deletions and new procedure additions

Identifies any charge issues including, but not limited to, procedure descriptions, coding compliance, charge amounts, multiplier set up and reimbursement method updates

Performs technical review to ensure accuracy, validity, appropriateness, and completeness of CDM

Process management functions may include data gathering, analysis, and determination of the charge, charge attributes (when and how a charge is triggered, charge routing, etc.), and charging workflow for new services and products

Resolves charge updates or concerns, working with Information Systems, Utilization Management, Health Information Management, Patient Access and Patient Accounting to keep cohesive and compliant charge practices

Maintain current knowledge of ICD-10 and CPT coding regulations

Sets up, modifies, deletes and adds all charge master item requests as it relates to the Epic charging workflows

Assists with additional CDM projects such as tiered pricing and material management updates

Works with Pharmacy, Lab and Materials Management in charge master set-up, cost, units, etc. Meet with departments to review their area of charge master at the minimum yearly and ideally twice a year

Charge Capture:

Daily review and resolution of Epic workqueues (e.g. charge router, charge review, account, claim, etc) owned and/or monitored by Revenue Integrity to ensure that edits are resolved accurately and in a timely manner to support generation of a claim with all relevant charges posted when billing is initiated

Analyzes daily revenue capture by monitoring and trending gross revenue using various tools (e.g. Charging Dashboard Components, Revenue and Usage Reports, Enterprise Charge Encounter Reports, etc)

Monitors and supports for clinical operational department leaders in working of charge review work queues. Provision of training and support for resolution of charge and charging related claim edits

Provision of initial training and ongoing education for clinical operational department managers, cost center owners and/or charge reconciliation specialist

Investigates departments where there are decreases inpatient volumes and/or posted revenue amounts compared to baselines, discovers root causes, and reports out to revenue cycle and clinical department leadership

Maintains working knowledge of CPT and HCPCS charging as well as all billing edits, CCI, OCE, MUE’s, and other relevant billing guidelines

Provides recommendations based upon findings to improve charge capture workflows and to standardize charge capture practices

Reports on trends, findings, and opportunities for improvement to management detailing findings and high-risk items that leaders should be monitoring, including missing, incorrect, and late charges

Evaluates, researches, and analyzes revenue and billing to ensure compliance with all payer requirements and determine patterns of charging that will increase the propensity for payment of charged services

Supports clinical departments in implementing solutions that support more efficient and effective work performance based on inherent knowledge of business processes which include coordinating and leading workgroup meetings to help identify solutions to charge issues

Performs department charge audits, assists departmental leaders with effective charge reconciliation processes, educates clinical departments on workflows causing billing edit resolutions, tracks problematic claim trends, and communicates/escalates issues along with recommended resolution pathways

Works closely with individual facility representatives/clinical staff to establish and maintain positive relations to ensure revenue integrity goals are achieved

Participates in onsite meetings and interact on a regular basis with site-based department leaders regarding changes in charge capture practices

Productivity:

Ensures that the department charge master charging workflow needs for all departments are being met

Works with the Patient Accounting leadership team when applicable to ensure that payer contracts/fee schedules are being paid as negotiated

Works with the Patient Accounting leadership team when applicable to ensure that federal and state payers are being paid per fee schedule/payment methodology

Ensures that payer regulatory changes are communicated

Ensures timely response to department questions and charge master requests

Development of Skills

Maintains knowledge of all third-party payer regulations including state and federal both for billing and charging

Maintains knowledge of all compliance regulations

Maintains knowledge of all payer charging rules and regulations including Federal, State and Commercial

Develops and maintains an excellent knowledge of Epic and MS Office products

Maintains a high level of computer, proof reading, written and verbal-communication skills

Maintains excellent interpersonal skills including the ability to communicate effectively with internal and external customers

Maintains current and updated working knowledge of all business application solutions

Maintains current knowledge of ICD-10 and CPT coding regulations

Maintains working knowledge of UI Health’s Intranet to obtain pertinent administrative information

Recommends changes to current billing practices to enhance billing productivity and revenue recovery

Recommends all changes in charging systems both federal, state and commercial

Qualifications:

Minimum Acceptable Qualifications Required:

Any one or any combination that equals three (3) years (36 months)

from the categories below:

A. progressively more responsible experience in developing financial or economic analyses, research designs, strategic plans, or data models

B. credit for college course work comparable to that in a field related to financial analysis/planning such as finance, planning, economics, or operations research with 12 hours in empirical fields such as statistics or computer science

1

60 semester hours equals 1 year (12 months)

90 semester hours equals 2 years (24 months)

120 semester hours or higher equals 3 years (36 months)

Two (2) years (24 months)

of work experience comparable to that gained as a Financial Analyst/Planner Associate in addition

to the experience/training required in 1 above.

1

A Master's Degree in accounting, business administration, and/or finance, or other related fields, used to satisfy requirement #1 may be used in satisfying this requirement as well.

Preferred Qualifications:

Preferred Hospital and professional reimbursement, charge capture and charge master experience

Preferred Working knowledge of CPT & HCPCS coding guidelines

Preferred Epic certifications or experience

Preferred knowledge of Excel and SQL queries

Certification as a Revenue Cycle Integrity Professional (CRIP). Certification preferred within 1 year of date of hire

Attend Epic for the training for Resolute Hospital Billing Charging certification within 6 months of date of hire. Obtain certification within 1 year of date of hire.

RHIA, RHIT, CCS, CPC/COC, CPC-H, or other coding credentials strongly preferred. Extensive understanding of correct coding principles of CPT/HCPCS and modifier selection as well as CCI edits and billing guidelines.

To Apply:

For fullest consideration, please complete an online application by clicking the Apply for Position

button below.

Fully complete all sections of the online application including adding your full work history with specific details of your duties and responsibilities for each position held. Please fully completed the Education and Certification sections.

Please upload all valid certifications and transcripts within the document section of your online application.

All civil service positions require an exam. The exam for this position is a Credentials Assessment. You will not be required to report in person for this exam.

Credential Assessment Exam Scoring Information

You will not

be required to report in person for this exam. The updated online application and all uploaded, relevant documents, such as a resume and/or college transcript will be used in the calculation of the exam score. These documents should be uploaded prior to the position close date.

When completing your online application, please be sure to provide detailed information about your job knowledge and specific duties and responsibilities, as your qualifications for any Civil Service position will be primarily determined based on what is contained in the application. Dates of employment and if employed on a full or part time basis (including number of hours per week) must be indicated for each position held. Additional consideration will be given to supporting documentation i.e. resume, transcripts, licenses, and certifications so please be sure to attach all applicable documents.

If a degree or college coursework is required, you must provide official transcripts.

Transcripts/Licenses/Certifications MUST be uploaded electronically to your online application through the Documents page on the Civil Service Employment Application (page 4). Be sure to select the appropriate document type before uploading the document.

If your educational institution provides electronic transcripts, please have them sent to

If your educational institution doesn’t provide electronic transcripts, they must mail the transcripts to: hross@uic.edu

University of Illinois at Chicago

Recruitment and Staffing

Human Resources Building Room 109

715 S. Wood Street M/C 862

Chicago IL 60612

Attn: Financial Analyst Planner Specialist - HR

If an application and all applicable forms, transcripts, and supporting documents are not submitted by the close date, the applicant/employee will not be considered for this position and will be denied.

For fullest consideration, the above mentioned requirements must be submitted no later than Tuesday 4/10/2020

We appreciate your interest in employment at the University of Illinois at Chicago.

The University of Illinois is an Affirmative Action/Equal Opportunity Employer.

This position requires Illinois residency within 180 days of the hire date.

Company info

University of Illinois
Website : http://www.uic.edu

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