Revenue Integrity Analyst - OnSite

We value your contributions. Every role in our hospital has an impact on each of our patients. We work hard to make sure our employees love their work here. Many have been with us from the very beginning. Because we’re physician-owned, we understand the value of having a well-trained, well-resourced staff. When it comes to procedural healthcare, experience matters. Lubbock Heart & Surgical Hospital is committed to providing better outcomes for our employees!

• Great Benefits – Medical, Vision, Dental, PTO & 401K
• Opportunities for Advancement
• Career Ladder for RNs, LVNs, & CSTs
• Consumer discounts through Perks
• Family Atmosphere
• Free CEUs through Cornerstone, our online training system

We are looking for a dedicated Revenue Integrity Analyst like you to join our Lubbock Heart team.

• Interpret accurate reports, compile data and work papers to support revenue cycle workflows to assist with timely and accurate charge capture and billing.
• Audit, identify, and trend payor denials, recoupments, and underpayments.
• Audit and identify patient credit balances and take appropriate action in the payment and billing systems.
• Work with clinical and business system development and maintenance of data.
• Work collaboratively with all departments to assist in compliant and appropriate business practices.
• Perform Charge Capture reviews, audits and research.
• Revenue Cycle Analyst will be expected to be a resource for the entire Revenue Cycle and its operations.
• Identify gaps in processes, recommends solutions, and assists Director of Revenue Cycle Management in implementation of revenue cycle improvements.
• Preform reviews and analysis of documentation in EHR and provides education to ensure appropriate document standards according to Medicare standards.
• Provides backup support for HIM documentation functions.
• Educate clinical department and providers on quarterly coding and billing updates.
• Excellent written and communication skills with the ability to write, present, and explain recommended materials in a clear, concise and organized format.
• Support different computer systems including Cerner.
• Proven analytical skills.
• Maintain a culture of compliance, ethics and integrity especially in the rate-setting process.
• Generate reports, monitors charges, discharged not final billed, work queues, denial reports, other revenue cycle related reports to assist management and revenue cycle team in the timely charge capture and billing efforts.
• Research and analyze reimbursement practices, compiles data in an organized format and makes recommendations on charge capture changes.
• Research and monitor codes on services, procedures, supplies, injections, medications and modifiers.
• Exhibit and maintains an understanding and application of CPT, HCPCS and CMS regulations and guidelines.
• This detail level analysis involves root cause analysis and entails looking at patient account level detail.
• Assist with implementation of new charges and meet with departments as needed.
• Interact with leadership, department managers and facility staff regarding CDM compliance and related financial issues.
• Research and processes patient refunds.
• POC for escalated in-person and phone inquiries.
• Review and audit revenue processes and charge capture effectiveness to facilitate optimal performance and efficiencies.
• Assist with data analysis and research for any and all charge capture efforts. Propose action plan for resolution of issue as it pertains to charge capture/CDM.
• Works with Coding and all other departments to ensure revenue integrity in charge capture processes.
• Validate UB revenue codes, type of service codes to ensure accurate assignment and smooth workflows on billing forms.
• Coordinate assignment of codes.
• Work daily work queues to resolve -…