Revenue Integrity Analyst II

Job Description This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient's account within Intermountain's policies and procedures. Analyze data, develop reports, review trends, and recommend enhancements as defined by the RI leadership team. Proactively seeks out positive or negative trends in charge/coding capture and editing processes to facilitate the sharing of best practice and performance improvement opportunity identification. Understands and assists in other areas of the revenue cycle to support the quality and compliance of charges and documentation. Participates, researches and follows-up on topics presented at department and system-wide initiatives. These may include audits and reviews for government, commercial and third party payers. Monitors status of RI activities using a defined tracking system, ensuring timely responses. Assists in the determination of appropriate responses and activities in collaboration with others involved including the care site teams, external business partners/vendors, compliance, legal counsel, health information management, and designated areas in the response process. Assists manager with interviews, onboarding, monitoring and measuring goals, annual reviews and metric design activities. Coordinates and oversees orientation and training for new and established associates and associated partners in designated areas, validates competency and performs retraining activities. Oversees productivity, vacation coverage and work assignments. Stays current in specific areas of focus. Provides education and guidance to service line leadership, providers, and front line clinical associates regarding updates to charging/coding/NCCI regulations and/or errors, and regarding audits and appeals, to facilitate corrective action planning for improved processes. Complies with all CMS, Federal and State regulations, and payor guidelines, and ensures consistent and compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation updates to ensure all necessary changes are incorporated into daily workflows. Ensures timely accuracy of revenue capture for a specific service line(s), including validation that documentation supports charges submitted, all charges/coding are aligned with procedure performed, and charges/coding are consistent with Federal, State, and payer guidelines. Acts as a subject matter resource to team and escalates to leadership as needed. Supports SCL and future acute care sites with Epic, downstream system, upgrades and new functionality. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards. Performs other duties as assigned. Minimum Qualifications Associates Degree in healthcare related field or two (2) years of prior experience leading others or leading project or programs. Certified Revenue Cycle Representative (CRCR) Certification completed within 3 months of hire. Plus one of the following certifications: Current certification as a coder through AAPC or American Health Information Management Association (AHIMA), or Healthcare Finance Management Association (HFMA). Three (3) years of direct related experience in revenue cycle operations in an acute and medical office. Preferred Bachelors Degree is preferred Proficiency in EPIC is preferred Prior educator, preceptor, trainer experience is preferred To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Job Requirements Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required. Strong oral and written communication skills with the ability to communicate effectively with diverse audiences. Take personal responsibility for personal growth including acquiring new skills, knowledge, and information. Demonstrate attention to detail and accuracy in work product. Strong problem solving and analytical skills. Ability to work independently and as part of a team. Basic mathematics skills. Intermediate skills in Word and Excel. Experience collaborating communicating with site staff and leadership and system office personnel Interact with others by effectively communicating, both orally and in writing.- and -Operate computers and other office equipment requiring the ability to move fingers and hands.- and -See and read computer monitors and documents.- and -Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.- and -May require lifting and transporting objects and office supplies, bending, kneeling and reaching. Location & Compensation Location: Lake Park Building Work City: West Valley City Work State: Utah Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $37.87 - $59.63 Benefits We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here. Compliance & Confidentiality By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment. Accessibility Contact If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact View phone number on click.appcast.io or email View email address on click.appcast.io. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Equal Opportunity Statement Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Privacy & Recruitment At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. Additional Program Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. Other All positions subject to close without notice. Thanks for your interest in continuing your career with our team! #J-18808-Ljbffr 10700 Revenue Cycle Organization