SHS REVENUE CYCLE ANALYST

About Us:

At Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests and treatments, it is about really caring for people with dignity and respect. That’s what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.

Position Purpose:

Provides support for the revenue cycle initiatives and conducts revenue cycle audits and reviews. Responsible for supporting and monitoring performance for revenue cycle management standards, including CDM reviews and missing charge recovery.

Key Job Activities:

• Provide accurate data analysis and reporting relating to revenue cycle billing and coding.
• Periodically audits various elements of the revenue cycle including patient accounts, and the charge description master (CDM), to monitor compliance and validate payment for services rendered. Assist with resolving revenue cycle compliance issues.
• Research revenue cycle issues at a detailed level to identify root cause of recurring issues such as late charges and claim rejections. Collaborate with managers and staff to identify process flow and areas of improvement in order to maintain control over the revenue cycle process, so that departmental and organizational goals and objectives, such as, accurate, timely and complete charge capture can be achieved.
• Work with departments to establish elements of revenue cycle for new services as need arises (charge description master set up and reports etc.) Effectively communicates with Clinical departments, Patient Accounts, Information Systems, HIM and Managed Care departments.
• Evaluate the impact of current reimbursement/payment rules on various service lines, to ensure that legislative and regulatory changes impacting billing are quantified and communicated to all appropriate personnel.
• Performs other duties as assigned.

Education and Work Experience:

• Requires a Bachelor degree in Applied Science, Business, Finance, or related field.
• Additional training in revenue cycle processes and healthcare payment methodologies desired.
• Any equivalent combination of education and experience that provides the employee with the
• knowledge, skills, and ability to perform the work will be considered.
• Requires 1 - 2 years experience in patient accounting, billing, or clinical work involving Medical
• Terminology, CPT/ICD-9 coding, DRG/APC payment classifications, and UB/HCFA regulatory
• requirements.
• Previous audit experience preferred.
• Basic knowledge of the field of hospital billing, finance, revenue cycle, and managed care.
• Specific knowledge of Medicare and Medicaid billing and coding regulations.
• Strong analytical skills.
• Excellent verbal and written communication skills.
• Experience with Microsoft Word, Excel, and Access.
• Basic knowledge of ICD-9CM and CPT coding

Knowledge and Skills:

• Experience in EPIC and MEDITECH software systems preferred.

Certifications/Licenses:

• None

Workplace Conditions:

PHYSICAL DEMANDS:

• While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle or feel; and talk or hear
• The employee frequently is required to walk and stoop, kneel, crouch
• The employee is occasionally required to stand
• The employee must occasionally lift and/or move up to 25 pounds.
• Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus

WORK ENVIRONMENT:

• General office environment and the noise level in the work environment is usually moderate

BLOOD-BORNE PATHOGEN EXPOSURE CATEGORY:

Category 1 - Job usually involves contact with patients or patient’s specimens.  Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible

Category 2 - Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens

Category 3(x) - Job does not involve exposure to blood, body fluids, non-intact skin or tissue specimens.  Incumbent does not perform or help in emergency medical care or first aid as a part of his/her job.

Benefits:

Sinai Health System’s goal is to provide you with the most comprehensive benefit package possible while balancing our fiscal commitments and obligations. Sinai Health Systems currently offers its employees the option to participate in a full range of benefits, including a health care program which includes medical, dental, vision and prescription coverage. Along with Employer Paid Life and Accidental Death & Dismemberment (AD&D), Supplemental Life, Short-Term and Long-Term Disability, Health Savings Account (HSA) and Flexible Spending Account (FSA), Employee Assistance Program and Student Loan Assistance. Participation in some programs requires that employees be regularly scheduled to work a minimum number of hours and/or to have fulfilled a waiting period after they begin employment with Sinai Health Systems.

Registry (per diem) Caregivers are caregivers who work less than 1,000 hours in a calendar year.  Registry caregivers are employees of Sinai Health System but are typically on an as needed basis.  These caregivers may be called upon to cover full-time or part-time caregivers during PTO events or sick leave as well as to provide supplemental coverage.  Registry Caregivers are not eligible for Sinai’s benefit programs with the exception for Sick-C, PPO Medical Plan, Employee Assistance Program (EAP) and non-match eligible contribution to the Sinai Health System Consolidated 403(b) retirement savings plan.

Living the Values:

• TEAMWORK - Caregiver works together with other caregivers to create and maintain an inclusive workplace where differences, inclusivity, conflict resolution and open communication are valued
• RESPECT - Caregiver shows mutual respect and fairness, treats each person with dignity and encourages each individual’s unique talents and contributions
• QUALITY - Caregiver improves our services by following protocol and suggesting improvements based on observations, continuous learning and industry best practices
• INTEGRITY - Caregiver holds self and others accountable for their actions and are honest and ethical in all dealings
• SAFETY - Caregiver practices behaviors that promote safety for all patients, visitors, and caregivers
• ROLE MODEL - Caregiver is a dependable role model and champions our values through their daily interactions with patients, customers and coworkers