Sr. Analyst, Revenue Integrity, Procedural Supply Governance

The Sr. Analyst, Revenue Integrity, Procedural Supply Governance reflects the mission, vision, and values of Northwestern Medicine (NM), adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Senior Revenue Integrity Analyst will support the Clinical Department and revenue cycle and perform charge capture analysis including annual price increase analysis.

The Senior Revenue Integrity Analyst will be responsible for helping maintain the charge master to ensure compliance, accuracy, and consistency for Northwestern Medicine. The Senior Revenue Integrity Analyst will prepare analysis and support for management and the Clinical Departments

Responsibilities

Perform daily maintenance and quarterly audits of the EAP. Prepare necessary files for the EAP database of required department builds. Proactively identify charge capture opportunities in all revenue producing departments.

Research and interpret billing and coding regulations, communicate to impacted areas, and apply changes that affect policy, financial, charge capture, patient care, billing, and coding operations. Lead quarterly audits on the charge master data elements. Review departmental front-end charge capture tools for accuracy.

Leads complex audits and prepares methodology for annual pricing changes and/or annual coding changes. Consistently delivers concrete, relevant results. Displays qualities of resiliency and resourcefulness while thinking strategically and practically when problem solving.