"Revenue Cycle Analyst"

The Northville Health Center is an Ambulatory Care facility comprised of clinical and diagnostic services, dedicated to providing high quality health care services for adults and children. The 2-story facility is located in Northville Township. We are seeking compassionate, enthusiastic, and patient-oriented individuals who will share in the goal of creating the ideal experience for our patients, families, and employees.

This position performs critical and complex billing-related functions requiring analysis, evaluation, and an in-depth understanding of the revenue cycle and charge entry process for both professional and hospital billing.

Essential Responsibilities

• Review Charge Router Reconciliation Report and correct any outstanding errors
• Perform critical and complex Charge Reconciliation for all Northville Service Lines including requiring analysis, evaluation and an in-depth understanding of Northville billing practices
• Analyze visit documentation and apply coding/billing guidelines to interpret accuracy in charge capture
• Be responsible for immediate correction of missing or incorrect charges in MiChart based off review and interpretation of medical documentation
• Access online payor portals to confirm payable diagnosis codes and coding/billing requirements
• Abstract information from medical documentation to identify complete charge capture of services and supplies provided
• Be responsible for working designated billing work queues
• Verify diagnosis codes, apply modifiers, and charge codes in designated work queues within 72 hours, (e.g. point of service, zero charge, hospital charge dropped outside of effective date, etc.)
• Utilize in-depth knowledge of complex procedural billing with multiple CPT codes and associated HC charges
• Execute and/or facilitate charge corrections/entry and send notification to revenue cycle team to have claim(s) billed/rebilled as needed
• Run ongoing reports to identify charges that were corrected/adjusted and provide interpretation to ACU leadership for review
• Communicate to providers to close encounters timely to abide by University policies
• Train personnel in related charge capture billing functions
• Partner with Clinical Documentation Specialist, Revenue Quality Liaison and Contracting to help troubleshoot billing issues
• Educate providers and clinical support staff on new or incorrect billing opportunities
• Assist in creation of new CDM codes by coordinating with ACU management and staff to complete the cost breakdown document and send the request form to the Revenue Cycle team
• Answer ambulatory billing and coding related questions for providers and staff acting as subject matter expert
• Respond to billing inquiries from the facility/ professional billing teams, CDS, centralized authorization team, rate setting team and patient specific inquiries
• Other duties will include supporting a wide service variety of referral and authorization needs for the Northville Health Center.

Required Qualifications*

• Bachelor's degree or equivalent combination of education and experience
• Minimum of five years' charge capture experience necessary in a clinic/ACU setting
• Thorough knowledge of front-end business operations, including check-in, check-out, charge entry, and cash collections
• Thorough knowledge of the revenue cycle, including a detailed understanding of professional and facility revenue, work queues, charge entry (professional and hospital), CPT codes, ICD10, codes, etc.
• Excellent verbal, written and interpersonal skills
• Strong customer service focus and critical thinking skills
• Demonstrated excellent work ethic
• Ability to work autonomously to meet expected deadlines
• Prior experience performing complex scheduling