Revenue Charge Integrity Analyst

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

The Charge Integrity Analyst plays an essential role in Michigan Medicine's Revenue Cycle. Analysts maintain charge and charge-related functionality, provide system and departmental support, and help to ensure the integrity and accuracy of patient accounts. The core functionality of Charge Integrity is to maintain the hospital and professional charge master and fee schedules. Analysts are expected to remain current on regulatory updates in accordance with hospital policies, AMA guidelines, Federal and State law and National Uniform Billing Committee.

Analysts work with a large variety of Revenue Cycle and non-Revenue Cycle teams to support charge capture functionality and ensure proper charging practices. Daily tasks include monitoring and working work queues, analyzing charts, addressing charging and workflow issues, investigating root cause, propose and support solutions. Projects are assigned to ensure proper build, testing, training, and monitoring of system upgrades and optimizations.

Analysts are expected to work closely and promote an atmosphere of teamwork with other members of Charge Integrity as well as their peers in Revenue Cycle, to achieve department objectives and provide stellar customer service. This position requires very strong analytical skills. Analysts must demonstrate the ability to pull and analyze data and documentation, determine root causes, and recommend solutions based on standard coding and billing best practices.

Strong excel skills are essential. Knowledge of clinical and hospital workflows, compliance, MiChart, and Epic certifications are beneficial. Analysts must be organized, detail oriented, and work well independently.

• Ensure that the Charge Master is built and maintained in accordance with hospital policies, AMA guidelines, Federal and State law, National Uniform Billing Committee standards, CMS and other regulatory and payor mandated charge capture guidelines, including revenue code, CPT, HCPCS, and modifiers.
• Maintain Coding Certification including staying current on articles, newsletters, memos and attend seminars to successfully oversee the Charge Master and ensure its proper use.
• Audit, utilize, and maintain Charge Master data in Fin Thrive and in the Epic EAP master file.
• Set hospital rates following department policy, using standardized pricing algorithms, available benchmarking and other rate setting tools.
• Work with other Charge Integrity team members and MiChart CORE team as assigned to maintain a variety of MiChart files and databases.
• Maintain and support all charging methods including:
  Charge Capture Preference Lists, Bedside Procedure Smart Forms, Clinic Performed Orders/Procedures, LOS, Smart Sets and other charge capture tools.
• Support departmental modules and workflows that interface/support charge capture.
• Maintain organized files of all critical correspondence, charge and fee schedule changes.
• Participate in the design, build, and testing of new and existing rules that track and identify potential charge errors.
• Assist in developing and establishing new departments by creating charging workflows, ensuring correct charge capture and reconciliation support.
• Work with Clinical Departments, Revenue Cycle peers, and other MM teams to ensure proper charge generation from clinical systems. Provide support as needed to Finance and other Revenue Cycle departments.
• Work MiChart Work queues. Monitor WQs for spikes and assist with identifying root causes. Identify areas of improvement and propose solutions to increase efficiency.
• Act as liaison between Billing and Clinical Departments to investigate and resolve issues.
• Participate in research, build, test script development, testing, training and go-live support of periodic MiChart Upgrades, new module implementations, system optimizations and other organizational projects.
• Support Revenue Cycle initiatives by creating reports, analyzing data, and creating/presenting SBARs as necessary.

• Associate's degree in Business Administration, Healthcare…