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Revenue Integrity Analyst

Robbinsdale, MN

About North Memorial Health

At North Memorial Health, you're part of an inclusive health family that is rooted in our values of relationships, inventiveness, and accountability. Empathy and care are at the heart of North's culture which is designed to actively support each team member's wellbeing and growth. Our strength lies in our diversity, and we embrace the unique contributions and experiences of each person. Together, we empower customers to achieve their best health.

About this position

Hybrid remote - this position works remotely but must come into the office at Robbinsdale, MN for meetings and must be available to come into the office when necessary. Will need to come to the office for training for up to 8 weeks.

Develops and maintains a program of CDM maintenance and support services for North Memorial Health Care. The scope includes coding updates to the charge master and support systems, including audits of code usage, and charging process. Provides consultation around CDM codes and processes to leaders, users, and vendors to assure accurate charging and billing across the system.

 

What we’ll expect from you

• Reviews charging activities of each department to ensure that all activities are accounted for in the charge-master.
• Routinely evaluates and documents the revenue capture process for each department and identifies process improvements.
• Facilitates the coding and charge master build for all new services.
• Conducts routine claims analysis to verify charge master compliance and identify revenue improvements.
• Monitors Medicare and Medicaid web sites, as well as Payer websites and newsletters for changes impacting charging, coding and billing.
• Reviews and updates CPT, HCPCS and Revenue codes for individual departments.
• Prepares and conducts educational services to departments and staff pursuant to audit findings, regulatory changes and requirements, coding updates, and managed care billing requirement changes.
• Accepts other duties as assigned to promote the accomplishment of organizational goals.
• The team member is accountable to demonstrate proficiency for the skills outlined in the appropriate position skills list.
• The team member is accountable to maintain skill proficiency, including improvement where deemed necessary, and upgrading any additional or new skills on the appropriate position skills list. • Recognizes and complies with legal, regulatory, accrediting and procedural requirements related to area of responsibility.
• Understands and follows principles and standards as outlined in North Memorial's Corporate Code of Conduct.
• Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.
• Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.

• Understands and follows principles and standards as outlined in North Memorial's Corporate Code of Conduct.
• Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.
• Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.
• Recognizes and complies with legal, regulatory, accrediting and procedural requirements related to area of responsibility.
• Understands and follows principles and standards as outlined in North Memorial's Corporate Code of Conduct.
• Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.
• Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication.

Interested? Here are our requirements

Education

• BA/BS or equivalent preferred, or combination or education and applicable level and years of work experience.   

Experience, Knowledge, Skills, Abilities 

• Minimum 3 years' experience working in a healthcare setting.
• Knowledge of CPT, HCPC, and Revenue Codes.
• CDM pre-work mapping and build experience preferred.
• EPIC and/or other Revenue system experience preferred. • Coding experience or certification and/or relevant work in CDM or billing capacity.
• EPIC Revenue Systems.
• Project Management skills, self-directed, organized and ability to prioritize.
• Extensive problem solving abilities.
• Proficient in Microsoft Office.
• Excellent customer service skills.
• Detail oriented.
• Knowledge of clinical settings.
• Strong verbal and written communication skills, including presentation skills.      

Licensure/Certification(s) Mandatory

 

Licensure/Certification(s) Mandatory where Applicable

    

Licensure/Certification(s) Preferred

CPC or equivalent coding certification - NMHC Preferred     

Posting Date:


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EEO/AA STATEMENT

North Memorial Health is an equal employment and affirmative action employer. North Memorial Health does not discriminate against any employee or applicant for employment because of race, color, religion, sex, national origin, age, disability, genetic information, marital status, veteran status, sexual orientation, gender identity, creed, status with respect to public assistance, or other protected class status. North Memorial Health provides reasonable accommodation to disabled applicants and employees and takes affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to protected class status. If you believe that you have been treated in a way that does not conform to these statements, please contact our HR Service Center: 763-581-6947. If you need a reasonable accommodation, due to a disability, or to assist with the application process, please contact our HR Service Center: 763-581-6947.


INSPECTION OF AAP
North Memorial Health is a Federal government contractor or subcontractor.
As a part of our obligations under law, we must develop a written Affirmative Action Program for Individuals with Disabilities and Protected Veterans, as specified by law (AAP).
This AAP is available for inspection by applicants and employees in the Human Resources Office during normal business hours.
Link to Policy



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North Memorial Health has always provided an equal opportunity for me to excel within this organization while pursuing a passion to help others with the support of a true team!Robert, North Memorial Health Pharmacy Technician

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