Lead Revenue Integrity Analyst (SAN ANTONIO)

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POSITION SUMMARY / RESPONSIBILITIES

The Charge Review Analyst - Senior is responsible for monitoring charge capture across all clinical charging services lines at UH. The Senior Analyst, as part of a team, oversees the charging practices of UniversityHealth and maintains direct relationships with clinical department leaders, nursing staff, technologists, I.T. staff, Billing, Coding, Compliance, CDM, and other Revenue Integrity team members to act as the bridge between clinical, financial, and I.T. staff working within the Epic environment. This position performs and assists with activities related to department rounding, workflow review, departmental education / training, issue identification, root cause analysis, and system updates needed for complete and accurate clinical department charge entry and ensures department charge review and reconciliation is performed on a daily basis. Furthermore, the Senior Analyst is responsible for ensuring the highest quality service is provided to our customers, which includes clinical department leaders, nursing staff, co-workers, hospital administration, and other revenue cycle colleagues. This is in addition to providing training and educational support to Revenue Integrity Charge Analyst team. This position is responsible for organizing and scheduling meetings with appropriate personnel as needed to resolve charging-related issues, and to provide prompt responses to issues, concerns, and / or complaints. The Analyst ensures high quality work and productivity in their performance. This position requires strong critical thinking and interpersonal skills, an established track record of working within the Epic EHR system, and a proven understanding of communication, technical, and revenue cycle skills.

EDUCATION / EXPERIENCE

Bachelor's Degree in Accounting, Finance, or Healthcare is required. Minimum two (2) years experience with hospital Revenue Integrity, Charge Capture, Nurse Audit, Denials, and / or Clinical Documentation Improvement required. Knowledge of medical terminology and coding required. Experience working within the Epic hospital information systems environment required. Experience with PC applications such as MS Office Suite (Excel, PowerPoint, Word, Access), MedAssets, Hospital Information Systems (Epic, 3M) required. Epic Certification in HB Resolute highly preferred. Experience with payer reimbursement methodologies (Commercial and Government) preferred. Experience with analyzing Medicare fiscal intermediary bulletins and Center for Medicare Services memorandums preferred. Experience participating in a revenue integrity program preferred.