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 world's 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 world's deadliest diseases and make life beyond cancer a reality.

At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. These values are grounded in and expressed through the principles of diversity, equity and inclusion. 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. Fred Hutch is in pursuit of becoming an anti-racist organization. We are committed to ensuring that all candidates hired share our commitment to diversity, anti-racism and inclusion.

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.

Deliver, monitor and maintain a consistent and accurate CDM in compliance with both state, internal and federal regulatory agencies
• Updating CDM (charge description master-CPT 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 Hutch coding and pricing documents for customer service, patient navigator, pricing transparency and PFS
• Monitor's and resolves interfaced revenue system charges in EPIC WQ's
• 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 and quarterly 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
• Assists with the development and implementation of policies and procedures related to the CDM/ EAP process
• Other duties as assigned

Required:

• High school diploma or equivalent
• Minimum of two years CDM, health-care finance, or Revenue Cycle experience
• Working knowledge of CPT, ICD10, HCPC codes
• 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:

• Certified RHIA, RHIT, CCS, CCS-P, CPC or COC
• Epic HB experience strongly preferred.

A statement describing your commitment and contributions toward greater diversity, equity, inclusion, and antiracism in your career or that will be made through your work at Fred Hutch is requested of all finalists.

The annual base salary range for this position is from $71,552.00 to $107,328.00 and pay offered will be based on experience and qualifications.

Most Fred Hutch jobs require some on-campus work. However, there may be flexibility for certain positions. Please check with the recruiter if you are an out-of-state applicant interested only in working outside of the Seattle area.

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), and partially paid sabbatical leave (up to 6 months).