**Primary City/State:**
Loveland, Colorado
**Department Name:**
Admin-Ref Lab
**Work Shift:**
Day
**Job Category:**
Revenue Cycle
**Primary Location Salary Range:**
$26.44 - $38.30 / hour, based on education & experience
In accordance with State Pay Transparency Rules.
**Find your path in health care. Banner Health is committed to not only providing the finest care possible, but to advancing the way care is provided. To achieve our vision, we seek out professionals who embrace change and who possess the passion and skills to make it happen. Apply today.**
Banner Health was named to Fortune’s America’s Most Innovative Companies list for the second year in a row for 2024 and named Most Trustworthy Companies in America by Newsweek. We’re proud to be recognized for our commitment to the latest health care advancements and excellent patient care.
Horizon Laboratory provides local lab services to the residents of northern Colorado. Horizon Laboratory is a collaborative effort with each of Banner Health's five Colorado hospitals to serve our communities within the Banner Health System. Horizon Laboratory has the largest test menu in the
Northern Colorado for Direct Access Testing which allows a patient to order their own selected laboratory tests. The Direct Access testing program is available during business hours at all sites.
**As a full-time Revenue Integrity Analyst at our Horizon Laboratory facility in Loveland, CO you must be Excel knowledgeable. Our RI Analyst will be responsible for** **Analyzing and quantifying, developing and generating standardized reporting for the KPI dashboard** .
**Shift: Monday -Friday 8:00 AM - 5 PM; In Office and No Weekends**
**Location: Horizon Laboratory (2555 E 13th St), Loveland, CO 80537**
Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits.
Great options and great opportunities. At Banner we are tapestry of cultures, and experiences. A workforce that is honored to serve and support the community. If you’re looking to leverage your abilities – you belong at Banner Health.
Should you have any questions, please contact Mia Frahry at [email protected] or call (602) 747-2595
Horizon Laboratory is committed to providing convenient, high-quality out-patient laboratory services at several locations in Northern Colorado. Our highly trained staff consists of more than 140 laboratory personnel including business associates, phlebotomists, and lab assistants dedicated to providing timely information essential to the prevention, diagnosis and treatment of disease. Horizon Laboratory is a licensed Clinical Laboratory Improvement Amendments facility.
POSITION SUMMARY
This position is responsible for managing, coordinating, and implementing charge capture initiatives and processes to improve revenue management and revenue protection. This position is responsible to discover revenue issue root cause and to develop correction action plan and provide charge capture education. In addition, recommend modifications to established practices and procedures or system functionality as needed to support revenue cycle and manage implementation of the recommended changes. The Revenue Integrity Analyst will work with internal customers to ensure newly implemented workflows and procedures, support revenue cycle integrity and to achieve revenue cycle’s financial goals.
CORE FUNCTIONS
1. Reviews facility daily gross revenue reports for variances. Collaborates with department directors/managers to review variances. Escalates variances related to charge capture and collaborates with Revenue Cycle team for process improvements as indicated.
2. Provides concurrent and retrospective charge reviews across Banner facilities comparing clinical documentation to billed charges as directed by Revenue Integrity Manager, Compliance and facility requests. Identify charge capture opportunities, proactively identifying revenue opportunity and suggests improvements.
3. Monitor/Resolve nThrive charge capture work queues to identify opportunities for improvement in charge capture, clinical documentation and system enhancements to improve charge capture. Maintains a current knowledge of coding and documentation requirements as required for compliant billing.
4. Collaborates with Revenue Integrity Senior Manager to develop and generate standardized reporting templates for revenue integrity KPI dashboard and daily/weekly analytics.
5. Analyzes and quantifies all charge capture review results for reporting to departments, CFO and Revenue Integrity Continuous Improvement Forums.
6. Provides guidance and education to departments as a subject matter expert on compliant charge capture and charge reconciliation.
7. Provides education to departments on how to work charge rejection log to ensure all charge are captured to avoid missed revenue and reduce late charges.
8. Coordinate department requested CDM charge additions and deletions as applicable. Partners with Coding, Cerner Clinical Informatics and Revenue Cycle teams to support performance improvement opportunities.
9. Works independently and in collaboration with Revenue Cycle Team under the direction of the Revenue Integrity Senior Manager. Researches complex charging/billing issues and provides education and recommends process improvements to ensure compliant charge capture and reimbursement. Uses structured work procedures and independent judgment to solve problems and achieve high quality levels. Work output has a significant impact on system business goal attainment. Customers include facility ancillary departments, physicians, nurses, third party payors, central billing staff, and patients/patient families.
MINIMUM QUALIFICATIONS
Must possess a strong knowledge of business and/or healthcare as normally obtained through the completion of an Associate’s degree Applied Health Sciences, Finance or health related field.
Requires a level of knowledge normally gained over 2-3 years of related work in the same type of clinical, medical office or acute care unit. Must be knowledgeable of medical terminology and current regulatory agency requirements for coding and charging for the assigned clinical area and have a good understanding of reimbursement methodologies. Requires strong abilities in researching, reading, interpreting and communicating financial data as related to charge capture, effective interpersonal skills, organizational skills and collaborative team working skills.
Must be able to work effectively with Microsoft office software, coding and billing software, Cerner, NextGen and MS4.
PREFERRED QUALIFICATIONS
Preferred licensure includes coding credentials (e.g. CCA, CCEP, CCS, CCS-P, COC, CHC, CHFP, CPC, CRCM, RHIT, etc.).
Additional related education and/or experience preferred.
**Anticipated Closing Window (actual close date may be sooner):**
2025-02-26
**EEO Statement:**
EEO/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)
Our organization supports a drug-free work environment.
**Privacy Policy:**
Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)
EOE/Female/Minority/Disability/Veterans
Banner Health supports a drug-free work environment.
Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability