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Senior Analyst, Revenue Integrity, Procedural Supply Governance
Northwestern Medicine. Support Clinical Departments and the revenue cycle .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in revenue cycle management, charge capture analysis, and compliance with billing regulations. Proficient in utilizing EPIC systems and maintaining accurate financial data to support clinical departments and enhance operational efficiency.
Highest-signal resume keywords
Revenue Cycle ManagementCharge Capture AnalysisCPT, HCPCS, ICD-10 KnowledgeEPIC CertificationMedicare/Medicaid Regulations
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Charge Capture AnalysisFinancial Data AnalysisSQL KnowledgeDatabase MaintenanceRegulatory Compliance
Soft Skills
Strong Communication SkillsCollaboration SkillsCritical ThinkingAttention to DetailDecisive Judgment
Tools & Technologies
Microsoft Office SuiteEPIC Systems
Certifications & Qualifications
EPIC Certification (Resolute Charge Capture)EPIC Certification (Clarity Report Data)RHIA or Related Healthcare Credential
Industry Keywords
Revenue IntegrityBilling RegulationsProvider-Based Status RulesOPPSCCIMUE
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Support Clinical Departments and the revenue cycle
- Perform charge capture analysis, including annual price increase analysis
- Maintain the charge master for compliance, accuracy, and consistency
- Prepare analysis and support for management and Clinical Departments
- Perform daily maintenance and quarterly audits of the EAP
- Prepare files for required EAP database department builds
- Identify charge capture opportunities in revenue-producing departments
- Research and interpret billing and coding regulations and communicate changes to impacted areas
- Lead quarterly audits of charge master data elements
- Review departmental front-end charge capture tools for accuracy
- Lead complex audits and prepare methodologies for annual pricing and coding changes
- Troubleshoot complex account errors and educate Revenue Managers on resolutions
- Resolve questions about charge capture and complex regulatory billing issues, including Provider-Based status rules, OPPS, CCI, and MUE
- Liaise with Revenue Cycle, IT, and clinical departments to link EPIC and the charge master
- Research, compile, and analyze financial data and maintain database files for financial modeling
- Mentor and support Revenue Integrity Team members as an informal leader
- Assess, modify, develop, and implement processes and systems to improve efficiency, accuracy, and information quality
- Maintain professional and technical knowledge through workshops, publications, networks, industry best practices, and professional societies
- Support finance, operations, and revenue cycle teams through special projects
- Protect confidential financial and patient information
- Support Northwestern Medicine’s finance operations
Requirements
What you’ll need- Bachelor’s Degree in Business or related field or 10 years of equivalent experience with progressive advancement
- Proficiency with Microsoft Office Suite
- 5+ years in a revenue cycle or revenue integrity role
- Advanced understanding of CPT, HCPCS, ICD-10, and third-party billing requirements
- Extensive knowledge and experience with Medicare/Medicaid regulations
- Strong communication, collaboration, and analytical skills
- Critical thinking, decisive judgment, high attention to detail, and ability to work with minimal supervision
- EPIC Certification (Resolute Charge Capture) preferred
- EPIC Certification (Clarity Report Data) preferred
- Master’s degree in Healthcare Management, Business, MIS, Data Analytics, or related field preferred
- Beginner to moderate knowledge of SQL and relational databases preferred
- RHIA or related healthcare credential preferred
- Successful completion of required background check and authorization/disclosure form
Benefits
Comp & perks- Tuition reimbursement
- Loan forgiveness
- 401(k) matching
- Lifecycle benefits
- Employee physical, emotional, and financial well-being resources
- Protection for unexpected life events