Revenue Integrity Analyst

Fred Hutchinson Cancer Center is an independent nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

With a track record of global leadership in bone marrow transplantation HIV/AIDS prevention immunotherapy and COVID-19 vaccines Fred Hutch has earned a reputation as one of the worlds leading cancer infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology infusion radiation proton therapy and related services and network affiliations with hospitals in five states. Together our fully integrated research and clinical care teams seek to discover new cures to the worlds deadliest diseases and make life beyond cancer a reality.

At Fred Hutch we value collaboration compassion determination excellence innovation integrity and respect. Our mission is directly tied to the humanity dignity and inherent value of each employee patient community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems.

The Revenue Integrity Analyst is responsible for maintaining coordinating and implementing Charge Description Master (CDM) initiatives and processes. Ensuring the overall integrity of the CDM with a focus on accuracy revenue cycle integrity and compliance with third-party payor requirements. This scope includes responsibility for reviewing analyzing and trending information being reported to identify the root-cause of issues and facilitate operational changes to improve net revenue and reductions in denials.

This position is full-time hourly

• Deliver monitor and maintain a consistent and accurate CDM in compliance with both state internal and federal regulatory agencies
• Updating CDM (charge description masterCPT codes standard/research prices etc.) to ensure optimal facility fees and maximize collections
• Reviews changes in pricing CPT codes HCPCS codes and revenue codes for accuracy and compliance with all applicable charging and billing guidelines
• Provides coding and pricing estimates requested by internal and or external customers
• Maintains Fred Hutchs coding and pricing documents for customer service patient navigator pricing transparency and PFS
• Monitors and resolves interfaced revenue system charges in EPIC WQs
• Performs charge reconciliation process to ensure that charges are captured and assist with charge capture entry
• Provide communication and education to clinical departments regarding annual andquarterly CPT/HCPCS changes and additions
• Conducts special projects and special studies to facilitate revenue management as required for system conversions new facilities/acquisitions new departments new service lines changes in regulations legal reviews etc.
• Reviews monitors and facilitates implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements.
• Monitors CMS and commercial payor policies. Prepares and implements action plans with follow-up to departments regarding policy changes
• Management of automation build to ensure Q/A post implementation or EPIC updates
• Development of library reports in slicers bench report dashboard and/or external analytics system
• Supporting business continuity preparedness downtime and recovery by developing reconciliation reports
• Assist with Revenue Cycle Business Planning for impact analysis to mid -back end revenue cycle processes
• Supporting data entry by hand keying charges into Epic for specific systems and departments
• Coordinating and researching technical solutions to optimize charge capture including referencing technical documentation and resources
• Reconciling charges by running Epic workbench or Slicerdicer reports to measure accuracy of charges posted from peer system
• Referencing and utilizing reports in Finthrive CDM product to implement best practices and ensure integrity of charge master data.
• Other duties as assigned

Required:

• Highschool diploma or equivalent
• Minimum of two years CDM health-care finance or Revenue Cycle experience
• Working knowledge of CPT ICD10 HCPCcodes
• Strong analytical and statistical skills
• Ability to interpret complex data
• Proficient in the use of MS Office Suite
• Ability to apply critical thinking and analytic skills to troubleshoot and problem solve
• Ability to work independently and as part of a team as the situation requires
• Knowledge of CMS and Commercial policies and requirements
• Knowledge of Ambulatory Payment Classifications
• Ability to communicate verbally in person on the phone and in writing in a clear concise and professional manner

Preferred:

• RHIA RHIT CCS CPC COC
• Epic HB experience strongly preferred

The annual base salary range for this position is from $77976.00 to $114.940.00 and pay offered will be based on experience and qualifications.

This position is full-time hourly

This position is not eligible for H-1B sponsorship at this time.

Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health well-being and financial security. Benefits include medical/vision dental flexible spending accounts life disability retirement family life support employee assistance program onsite health clinic tuition reimbursement paid vacation (12-22 days per year) paid sick leave (12-25 days per year) paid holidays (13 days per year) paid parental leave (up to 4 weeks).