Revenue Integrity Analyst

Join to apply for the Revenue Integrity Analyst role at Fred Hutch

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states.

Together our fully integrated research and clinical care teams seek to discover new cures to the world’s deadliest diseases and make life beyond cancer a reality.

At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems.

• Deliver, monitor and maintain a consistent and accurate CDM in compliance with state, internal and federal regulatory agencies.
• Update CDM (charge description master—CPT codes, standard/research prices, etc.) to ensure optimal facility fees and maximize collections.
• Review changes in pricing, CPT codes, HCPCS codes, and revenue codes for accuracy and compliance with all applicable charging and billing guidelines.
• Provide coding and pricing estimates requested by internal or external customers.
• Maintain Fred Hutch’s coding and pricing documents for customer service, patient navigator, pricing transparency and PFS.
• Monitor and resolve interfaced revenue system charges in EPIC WQ’s.
• Perform charge reconciliation to ensure charges are captured and assist with charge capture entry.
• Provide communication and education to clinical departments regarding annual and quarterly CPT/HCPCS changes and additions.
• Conduct special projects and studies to facilitate revenue management for system conversions, new facilities/acquisitions, new departments, new service lines, regulatory changes, legal reviews, etc.
• Review, monitor, and facilitate implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements.
• Monitor CMS and commercial payor policies. Prepare and implement action plans with follow-up to departments regarding policy changes.
• Manage automation build to ensure Q/A post‑implementation or EPIC updates.
• Develop library reports in slicers, bench report, dashboard and/or external analytics system.
• Support business continuity preparedness, downtime, and recovery by developing reconciliation reports.
• Assist with Revenue Cycle Business Planning for impact analysis of mid‑back end revenue cycle processes.
• Support data entry by hand keying charges into Epic for specific systems and departments.
• Coordinate and research technical solutions to optimize charge capture including referencing technical documentation and resources.
• Reconciling charges by running Epic workbench or Slicer Dicer reports to measure accuracy of charges posted from peer system.
• Reference and utilize reports in Finthrive CDM product to implement best practices and ensure integrity of charge master data.
• Perform other duties as assigned.

Required:

• High school diploma or equivalent.
• Minimum of two years CDM, healthcare finance, or revenue cycle experience.
• Working knowledge of CPT, ICD-10, HCPC codes.
• Strong analytical and statistical skills.
• Ability to interpret complex data.
• Proficient in the use of MS Office Suite.
• Ability to apply critical thinking and analytic skills to troubleshoot and problem solve.
• Ability to work independently and as part of a team as the situation requires.
• Knowledge of CMS and commercial…