Analyst

• Support maintenance of systems, processes, and workflows for timely and accurate recording of revenue related to the chargemaster (CDM), charge integrity, and charge capture for the INTEGRIS system
• Interpret government regulations and implement related process changes to ensure compliance with State and Federal laws, regulations and organizational policies
• Assist in evaluation, research and analysis of charging, revenue, and billing to ensure compliance with payer requirements and identify charging patterns
• Develop, implement, maintain and audit functions related to the CDM
• Provide leadership and direction on pricing strategies in accordance with CMS, Medicare Administrative Contractor rules, Medicaid rules, and Managed Care contract terms
• Provide communication and education regarding annual and quarterly CPT/HCPCS changes and additions
• Review charges and clinical data to compare services charged versus services recorded
• Collaborate in monthly and quarterly specialty-specific charge reviews; review and interpret utilization and billing data and provide recommendations
• Work with physicians and departments to optimize reimbursement, ensure charge capture and provide feedback on revenue opportunities, documentation, and payor standards
• Report to the System Manager Revenue Integrity
• Travel to INTEGRIS facilities throughout the state; some overnight travel required

Chargemaster Analyst

Senior Applications Analyst – POTS/COTS Apps

Applications Analyst

EPIC Applications Analyst II – OpTime/Anesthesia

Apps Analyst, Specialty Programs

Board Certified Behavior Analyst, BCBA