Job Description

  • Job LocationUS-AZ-PHOENIX
    Requisition ID
    2019-23639
    Shift
    01 - Days
    Department
    Revenue Compliance
    Facility
    Support Services
    Position Type
    Regular Full-Time
    Physical Work Location and New Employee Orientation Location : Address
    2500 W UTOPIA
    Work Hours
    7:00am - 3:30pm
  • Overview

    HonorHealth is a non-profit, local healthcare organization known for community service and outstanding medical quality. HonorHealth encompasses five acute care hospitals with approximately 11,500 employees and 4,500 volunteers, over 70 primary and specialty care practices, clinical research, medical education, an inpatient rehabilitation hospital, an Accountable Care Organization, two foundations, and extensive community services.

    HonorHealth is a leader in medical innovation, talent and technology with a genuine commitment to your growth. The health system's vibrant careers take place in an environment filled with opportunity and respect because we see the HONOR in you.

    Qualifications

    Education
    Bachelor's Degree or 4 years' work related experience in business or healthcare field Required

    Experience
    2 years related Required

    Responsibilities

    Job Summary
    The REVENUE ANALYST II is responsible for the development, implementation, maintenance and audit functions of a standard system-focused hospital Charge Description Master (CDM). The position will deliver, monitor and maintain a consistent accurate CDM that is compliant with regulatory guidelines; conduct pricing updates and work closely with team members to prepare and submit the annual rate filing with the State of Arizona in accordance with State guidelines; provide advice and support to facility staff as needed; and maintain the CDM to ensure accurate charge capture and will work with relevant departmental staff to ensure Charge Master information is properly routed to any and all systems dependent upon charge data. The position works in a cooperative team environment to provide value to internal and external customers. The position will work closely with the Revenue Services team to conduct departmental process improvement projects for the benefit of charge capture and revenue integrity. Aspects of the role will require extensive data mining and abstracting of financial and clinical information from various decision support tools for, but not limited to, charge master support, revenue and reimbursement analyses, and ad hoc reporting needs of department.
    • Acts as Team Leader and/or Project Manager for special projects related to CDM and reimbursement data. Serves as liaison between Revenue Services and support areas, Department Managers and special task forces/committees representing CDM and charge capture issues. Serves as internal coordinator for projects performed by consultants and external parties for CDM issues. Coordinates internal audits related to charge capture departmental issues, defense audits and or patient complaint audits.
    • Uses appropriate analytic applications and decision support tools in conjunction with Excel and Access, to abstract information for financial analysis and decision support purposes in the area of reimbursement, including forecasting/trend analysis, cost analyses, financial projections, and other duties as may be identified to assist department and System decision making. Familiarity with CDM auditing & maintenance tools (i.e. Craneware)
    • Analyzes patient billing system requirements, and Charge Master Application validation and maintenance with respect to the CDM. Research and resolve revenue and billing issues and develop corrective action plans when necessary. Assists and works with PFS, Information Systems, Decision Support, Department Managers and others in the design and modifications of system, reports and conversion requirements.
    • Monitor compliance initiatives related to CDM data. Track OIG, FBI, Attorneys General, Fiscal Intermediary/Carrier and other regulatory agencies compliance investigatory activities and published findings that may be correlated to CDM data billed. Serve as a team member and resource for compliance information on regulations applicable to healthcare providers. Interact with leadership, department managers and facility staff members regarding CDM compliance and related CDM financial issues.
    • Develops, implements, maintains and performs audit functions to the standard system focused charge description master (CDM). Responsible for making CDM related decisions that require significant analysis and investigation with solutions requiring significant original thinking. Responsible for using broad discretion to define and execute CDM related activities with freedom to proceed on major assignments.
    • Assist as a team member in the development, implementation and improvement of internal controls needed to assure and maintain sound billing practices.



    It is the policy of HonorHealth to provide equal opportunity in employment. Selection and employment of applicants will be made on the basis of their qualifications without regard to race, color, religion, creed, national origin, age, disability, sexual orientation, marital status, veteran status or any other legally protected status.

    Please review the Equal Employment Opportunity poster.

    Please review the Equal Employment Opportunity Poster.HonorHealth wants all interested and qualified candidates to apply for employment opportunities. If you are an applicant with a disability who is unable to use our online tools to search and apply for jobs, please contact us at EmploymentOffice@HonorHealth.com . Please indicate the specifics of the assistance needed. This option is reserved only for individuals with disabilities that are unable to use the online tools and is not intended for other purposes.

    Application Instructions

    Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

    Apply Online