Discover Vanderbilt University Medical Center
Revenue Integrity Analyst
Discover Vanderbilt University Medical Center, Seattle, Washington, us, 98127
OverviewFred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world's deadliest diseases and make life beyond cancer a reality.At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. These values are grounded in and expressed through the principles of diversity, equity and inclusion. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems. Fred Hutch is in pursuit of becoming an anti-racist organization. We are committed to ensuring that all candidates hired share our commitment to diversity, anti-racism and inclusion.The Revenue Integrity Analyst is responsible for maintaining, coordinating, and implementing Charge Description Master ("CDM") initiatives and processes. Ensuring the overall integrity of the CDM with a focus on accuracy, revenue cycle integrity, and compliance with third-party payor requirements. This scope includes responsibility for reviewing, analyzing, and trending information being reported to identify the root-cause of issues and facilitate operational changes to improve net revenue and reductions in denials.Responsibilities
Deliver, monitor and maintain a consistent and accurate CDM in compliance with both state, internal and federal regulatory agenciesUpdating CDM (charge description master--CPT codes, standard/research prices, etc.) to ensure optimal facility fees and maximize collectionsReviews changes in pricing, CPT codes, HCPCS codes, and revenue codes for accuracy and compliance with all applicable charging and billing guidelinesProvides coding and pricing estimates requested by internal and or external customersMaintains Fred Hutch coding and pricing documents for customer service, patient navigator, pricing transparency and PFSMonitor's and resolves interfaced revenue system charges in EPIC WQ'sPerforms charge reconciliation process to ensure that charges are captured and assist with charge capture entryProvide communication and education to clinical departments regarding annual and quarterly CPT/HCPCS changes and additionsConducts special projects and special studies to facilitate revenue management as required for system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc.Reviews, monitors, and facilitates implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements.Monitors CMS and commercial payor policies. Prepares and implements action plans with follow-up to departments regarding policy changesAssists with the development and implementation of policies and procedures related to the CDM/ EAP processOther duties as assignedQualifications
Required:High school diploma or equivalentMinimum of two years CDM, health-care finance, or Revenue Cycle experienceWorking knowledge of CPT, ICD10, HCPC codesStrong analytical and statistical skillsAbility to interpret complex dataProficient in the use of MS Office SuiteAbility to apply critical thinking and analytic skills to troubleshoot and problem solveAbility to work independently and as part of a team as the situation requiresKnowledge of CMS and Commercial policies and requirementsKnowledge of Ambulatory Payment ClassificationsAbility to communicate verbally in person, on the phone and in writing in a clear, concise and professional mannerPreferred:Certified RHIA, RHIT, CCS, CCS-P, CPC or COCEpic HB experience strongly preferred.A statement describing your commitment and contributions toward greater diversity, equity, inclusion, and antiracism in your career or that will be made through your work at Fred Hutch is requested of all finalists.The annual base salary range for this position is from $71,552.00 to $107,328.00 and pay offered will be based on experience and qualifications.Most Fred Hutch jobs require some on-campus work. However, there may be flexibility for certain positions. Please check with the recruiter if you are an out-of-state applicant interested only in working outside of the Seattle area.Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks), and partially paid sabbatical leave (up to 6 months).Our Commitment to Diversity: We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.
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Deliver, monitor and maintain a consistent and accurate CDM in compliance with both state, internal and federal regulatory agenciesUpdating CDM (charge description master--CPT codes, standard/research prices, etc.) to ensure optimal facility fees and maximize collectionsReviews changes in pricing, CPT codes, HCPCS codes, and revenue codes for accuracy and compliance with all applicable charging and billing guidelinesProvides coding and pricing estimates requested by internal and or external customersMaintains Fred Hutch coding and pricing documents for customer service, patient navigator, pricing transparency and PFSMonitor's and resolves interfaced revenue system charges in EPIC WQ'sPerforms charge reconciliation process to ensure that charges are captured and assist with charge capture entryProvide communication and education to clinical departments regarding annual and quarterly CPT/HCPCS changes and additionsConducts special projects and special studies to facilitate revenue management as required for system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc.Reviews, monitors, and facilitates implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements.Monitors CMS and commercial payor policies. Prepares and implements action plans with follow-up to departments regarding policy changesAssists with the development and implementation of policies and procedures related to the CDM/ EAP processOther duties as assignedQualifications
Required:High school diploma or equivalentMinimum of two years CDM, health-care finance, or Revenue Cycle experienceWorking knowledge of CPT, ICD10, HCPC codesStrong analytical and statistical skillsAbility to interpret complex dataProficient in the use of MS Office SuiteAbility to apply critical thinking and analytic skills to troubleshoot and problem solveAbility to work independently and as part of a team as the situation requiresKnowledge of CMS and Commercial policies and requirementsKnowledge of Ambulatory Payment ClassificationsAbility to communicate verbally in person, on the phone and in writing in a clear, concise and professional mannerPreferred:Certified RHIA, RHIT, CCS, CCS-P, CPC or COCEpic HB experience strongly preferred.A statement describing your commitment and contributions toward greater diversity, equity, inclusion, and antiracism in your career or that will be made through your work at Fred Hutch is requested of all finalists.The annual base salary range for this position is from $71,552.00 to $107,328.00 and pay offered will be based on experience and qualifications.Most Fred Hutch jobs require some on-campus work. However, there may be flexibility for certain positions. Please check with the recruiter if you are an out-of-state applicant interested only in working outside of the Seattle area.Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks), and partially paid sabbatical leave (up to 6 months).Our Commitment to Diversity: We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.
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