Revenue Cycle Analyst
University of Michigan
Job Summary
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.
Mission Statement
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Why Join Michigan Medicine?
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
- Excellent medical, dental and vision coverage effective on your very first day
- 2:1 Match on retirement savings
Responsibilities*
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
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.
Background Screening
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Application Deadline
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO Statement
The University of Michigan is an equal employment opportunity employer.