Revenue Integrity Analyst

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference

The Opportunity:

CAREER OPPORTUNITY OFFERING: 

• Bonus Incentives 

• Paid Certifications 

• Tuition Reimbursement 

• Comprehensive Benefits 

• Career Advancement 

• This position pays between $45,000 – $81,750 based on experience

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This position is primarily responsible for all acute and non-acute Revenue Cycle analytical needs.  This includes the creation and maintenance of scorecards, dashboards, and ad hoc reporting using a variety of source systems and presentation software.  In addition, this position is required to provide analytical insight regarding all reports.  This position is responsible to discover root causes and to develop a corrective action plan.  Recommends modifications to established practices & procedures or system functionality as needed to support revenue cycle and then manages implementation of those recommended changes.  The analyst will work with internal customers to ensure newly implemented workflows and procedures, support revenue cycle integrity and to achieve revenue cycle’s financial goals.  The analyst participates in implementation of new & existing functionality to support revenue cycle processes.

Essential Job Functions:

• Daily review of charge items & Revenue Integrity work queues to ensure they are resolved accurately and in a timely manner to meet  the deadlines.
• Analyze billed charges, medical records and related medical documentation to look for missing, incorrect or late charges.
• Evaluate charge capture practices for their assigned facilities  to ensure accuracy & completeness of charge capture and compliance with government and non-government payers rules and regulations.
• Follow up as appropriate when unusual items are noted and ensure problems are resolved and prevented in the future.
• Maintain working knowledge of CPT and HCPCs coding as well all billing, CCI, MUEs, and other relevant coding/ billing guidelines.
• Provide recommendation based on finding to improve charge capture workflows and to standardize charge capture practices.
• Reports on trends, findings, and opportunities for improvement to managements detailing findings and high-risk items that leaders should be monitoring, including missing, incorrect, and late charges.
• Work closely with individual facilities representatives/clinical staff to establish and maintain positive relations to ensure revenue integrity goals are achieved. Participate in onsite meetings and interact on regular basis with site based department leaders regarding changes in charge capture practice.
• Performs database editing/auditing functions to maintain and/or improve data quality. Other job duties as assigned.

Requirements:

• Bachelor’s Degree or equivalent experience
• 2 years related experience required
• Excellent knowledge of Epic, Excel and SQL queries.
• Working knowledge of CPT & HCPCs coding guidelines.
• Excellent computer, proof reading, and written and verbal communication skills. Excellent interpersonal skills including the ability to communicate effectively with CHP internal and external customer base.
• Ability to work independently, proactively with limited supervision and also as a team player when called upon.
• Ability to work under pressure. Ability to maintain the security of confidential information.

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Join an award-winning company

Three-time winner of “Best in KLAS” 2020-2022

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces USA Award

2022 Top Workplaces Culture Excellence Awards

• Innovation

• Work-Life Flexibility

• Leadership

• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits –  We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. 
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.  
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. 
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. 

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.  Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.

This posting addresses state specific requirements to provide pay transparency.  Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.  A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

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