Patient Accounting RAC Analyst

Overview

Join to apply for the Patient Accounting RAC Analyst role at Northwestern Medicine Central DuPage Hospital.

The salary range for this position is $25.72 - $37.30 (Hourly Rate). Placement within the salary range is dependent on factors such as relevant work experience and internal equity. For positions represented by a labor union, salary placement is guided by the collective bargaining agreement.

We offer a wide range of benefits and encourage you to visit our Benefits section for more information.

Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. You ll work alongside clinical talent in a setting that emphasizes innovation and research. We recognize diverse perspectives and experiences and are committed to equity and service.

Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment. Create the life you envision with flexible work options, a Well Being Fund, and a Total Rewards package that supports well-being.

From discovery to delivery, come help us shape the future of medicine.

• Monitor RAC program updates as they relate to Patient Accounting and Patient Financial Services; assist in coordinating RAC-related activities to meet documentation requests and deadlines.

• Monitor RAC publications and resources to help Patient Accounting understand RAC issues related to PA functions.
• Monitor and communicate potential RAC issues and compile action/activity reports for corrective action or process improvement.
• Generate financial and other information for RAC claims under review; research and facilitate data gathering for leadership and Compliance
  • provide data and reports as needed.
• Input RAC notation, DRG, claim, and reimbursement information into appropriate systems; collect, organize, and interpret RAC data for risk identification and prioritization.
• Collaborate with Compliance, Billing and other hospital areas to implement changes ensuring NM compliance with RAC requirements as they relate to PA functions.
• Coordinate with NM Academy and PFS Management to ensure timely compliance education and training within PFS.
• Adjust claim information in systems to reflect accurate DRG and level of care for RAC claims under review.
• Assess new RAC information and determine required systems or operational actions.
• Document issues and resolutions with a comprehensive audit trail.
• Adhere to a patients-first philosophy and maintain high standards of customer service for internal and external customers.
• Evaluate procedures and suggest improvements to enhance customer service and efficiency.
• Perform other related duties as assigned by manager.

• Bachelor’s Degree or four additional years of relevant experience
• 4-6 years of hospital healthcare experience with focus on government programs
• Knowledge of Recovery Audit Contractor Program
• Knowledge of ICD-9/10, CPT, HCPCS & MS-DRG coding, healthcare billing, medical records
• Ability to review/analyze billing documentation including UB-04 and CMS 1500 forms, EOBs & remittances
• Ability to work with confidential information and maintain sensitive data
• Expert user experience with MS Excel
• Ability to run system queries & reports
• Strong interpersonal, written and oral communication skills

• MS Word & Power Point
• Coding credential (CCS, CPC-H, RHIT, RHIA)
• Project Management

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. If we offer you a job, a background check will be performed; a conviction does not automatically disqualify you from employment and is considered case-by-case.

We offer a wide range of benefits that support physical, emotional, and financial well-being and protection for unexpected life events. Please visit our Benefits section to learn more.

• Seniority level:
  Not Applicable
• Employment type:
  
  Full-time
• Job function:
  Accounting/Auditing and Finance
• Industries:
  Wellness and Fitness Services and Hospitals and Health Care