Revenue Integrity Analyst

Summary

Mercy Medical Center, recognized as one of America's Most Trustworthy Companies (Newsweek) and one of America's Best Midsize Employers (Forbes) in 2024, is hiring a Revenue Integrity Analyst! Come join our family of dedicated professionals! Military veterans are also encouraged to apply!

Mercy's Revenue Integrity Analyst benefits:

• Paid time off (PTO) & company paid holidays

• Tuition reimbursement

• 403(B) retirement plan with generous company match and "catch up" provision

• Mercy's Rewards & Recognition Program rewarding employees for going above and beyond in living Mercy's Mission and Values

• Competitive health, prescription, vision and dental benefits & wellness credit

• Employer paid short & long term disability benefits

• Discounts on auto & home insurance and Verizon plans

• Pet Wellness coverage, legal assistance and identity protection

• Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program

• Perks at Work - savings on favorite brands, travel, tickets, dining and more!

Responsibilities

Hospital Charge Master (CDM):

• Accountable for:

• Maintaining and updating hospital charge master

• Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and HSCRC regulations including:

• Revenue codes

• HSCRC Rate Centers

• Approved Rate / Price Compliance

• Assist with price changes as needed

• Ad hoc requests as needed

Revenue Integrity:

• Monitor and assist with review of revenue cycle work queues in EPIC.

• Analyze billing errors and denial data to identify root cause of issues.

• Work with Revenue Integrity Team, Clinical Operations and Patient Financial Services staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials and accurate and reimbursement.

• Ad hoc requests as needed

Abstract Submission:

• Assists with process of submission of state mandated abstract reports.

• Assists with coordination of affected departments, including Medical Records, Admitting and Patient Accounting to ensure tape data integrity

• Complete abstract reconciliations and modifications as needed. Including:

• Working with IT to make needed changes to the data pull to remain in compliance with HSCRC regulation.

• Attending HSCRC meetings in person or virtually when abstract data is reviewed.

• Maintain reconciliation of abstract data within DI, working with Data team.

• Accountability for timely, complete, and accurate monthly & quarterly submissions.

Requirements

• Must possess a Bachelor's Degree from an accredited institution

• Must demonstrate clear aptitude and desire to work in an environment requiring analytical skills

• Healthcare experience preferred

• Epic experience preferred

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Mercy Health Services is sponsored by the Sisters of Mercy. We are an Equal Opportunity Employer (EEO) recruiting talent for Mercy Health Services, which serves the greater Baltimore Metro and surrounding Maryland areas.