Revenue Integrity AnalystHennepin County Medical Center • Minneapolis, Minnesota, United States
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Revenue Integrity Analyst
Hennepin County Medical Center
- Minneapolis, Minnesota, United States
- Minneapolis, Minnesota, United States
Über
Equal Employment Opportunities:
We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.
SUMMARY We are currently seeking a
Revenue Integrity Analyst
to join our Revenue Integrity team. This full-time role will primarily work remotely.
Purpose of this position:
Maintains HHS charge master while preventing, identifying and monitoring for revenue leakage. Ensures compliance with state, local and federal regulations. Provides charging workflow support, education and feedback to clinical leaders and ancillary staff.
Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin
RESPONSIBILITIES
Understand charge master set up and ensures maintenance requirements are met
Understand and communicate processes for accurate, compliant charge capture and documentation requirements for appropriate billing
Maintain extensive knowledge of ICD-10-CM, CPT/HCPCs procedure coding and revenue codes along with UB-04 and 1500 billing requirements
Monitors federal, state and local regulations and alerts appropriate stakeholders to changes
Conducts annual cost center quality reviews leveraging reporting tools to evaluate for charge capture gaps as well as the appropriateness of services billed based on supporting documentation, procedural (CPT/HCPCS) codes selected and appropriateness of modifier usage to identify potential opportunities for revenue capture and recognize areas of compliance concern
Develops and executes departmental review projects with measurable financial and/or compliance goals per analysis findings
Rolls out regular updates of CPT/HCPCS and regulatory changes which includes identifying codes that have been deleted, added, or replaced and ensuring the appropriate system changes are made, supporting education presented, and proper communication is provided to all impacted stakeholders
Work in collaboration with clinical areas, EHR, informatics, compliance, contracting, and other revenue cycle partners to ensure Revenue Integrity
Monitor for and identify regulatory and/or reimbursement issues resolving them at root cause in an expedient and proactive manner
Assists with onboarding and serves as an educational resource to revenue cycle, clinical leadership, MA's, RN's and other clinical staff regarding coding and billing trends and related quality metrics
Trains, monitors and supports charge capture reconciliation processes in clinical areas
Provide continuous quality control through work queue monitoring, variance checks, analysis, troubleshooting and detailed research
Organizes, analyzes and presents data for the purpose of supporting clinical leadership, and other stakeholders throughout the organization to outline and institute strategies for improvement
Other duties as assigned
QUALIFICATIONS Minimum Qualifications
Bachelor s degree in Business Administration, Health Care Administration or related area
2 years of experience in health care reimbursement, financial management or coding
An approved equivalent combination of education and experience
Preferred Qualifications
Minimum of three years' experience in directly related field
Epic Certification in HB Resolute, CDM and/or PB Resolute
RN
RHIA, RHIT
CCS, CPC
CRIP
Knowledge/ Skills/ Abilities
Knowledge of all third-party requirements, state and federal regulations
Knowledge of government and commercial payer requirements for accurate and compliant healthcare charging and billing
Extensive knowledge of CPT, HCPCs, and revenue codes
Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting)
Knowledge of regulatory publications, how to access and interpret
Strong analytical and problem-solving skills
Able to present to both small and large (up to 100) groups
Initiate judgment, make decisions and work autonomously and remain adaptable
Consistently demonstrate strong verbal and written communication skills at all times
Ability to create strong collaborative relationships along with solid problem solving and conflict resolution skills
Analytical and critical thinking skills
Please Note:
Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.
Total Rewards Package
We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.
We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).
For a complete list of our benefits, please visit our career site on why you should work for us.
Primary Location:
MN-Minneapolis-Downtown Campus
Standard Hours/FTE Status:
FTE = 1.00 (80 hours per pay period)
Shift Detail:
Day
Job Level:
Staff
Employee Status:
Regular
Eligible for Benefits:
Yes
Union/Non Union:
Non-Union
Min Salary:
$35.18
Max Salary:
$52.76
Job Posting:
Apr-03-2026
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Sprachkenntnisse
- English
Hinweis für Nutzer
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