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The Data Integrity Analyst is essential to the Revenue Cycle and Health Information Management (HIM) teams. This role primarily identifies, tracks, and resolves billing issues that arise from corrections or modifications in patient medical charts within the Epic electronic health record (EHR) system. Ensuring timely and accurate claim submissions, the Analyst plays a crucial role in safeguarding revenue integrity and maintaining compliance with payer regulations and hospital policies. Additionally, the Analyst supports initiatives to enhance data accuracy throughout the patient access lifecycle and leads efforts to prevent the recurrence of data integrity issues.

Primary duties and responsibilities:

• Identifies and Investigates: Identify and resolve billing discrepancies stemming from documentation amendments, chart corrections, and coding updates within the Epic System.
• Investigate the underlying causes of errors that result in claim denials or delays.
• Data Analytics: Analyze the billing data after corrections to identify trends and patterns.
• Monitor claim status and guarantee prompt and precise resubmission to meet payer deadlines.
• Regulatory Compliance: Ensure that billing practices comply with HIPAA, CMS, and internal documentation standards.
• Ensure compliance with payer-specific requirements.
• Education and Training: Create and provide training aimed at minimizing registration and documentation errors.
• Support staff's understanding of Epic workflows and billing correction processes.
• Collaboration and Communication: Collaborate with HIM, Revenue Cycle, Registration, and clinical teams to ensure documentation supports accurate claim generation.
• Communicate findings and workflow gaps to leadership for continuous improvement.
• Performance Improvement Suggest modifications to front-end workflows to minimize data integrity issues and improve billing efficiency.
• Operational Oversight Monitor the progress of billing corrections and claim resubmissions to ensure timely resolution within organizational timelines.
• Travel: Less than 10% of the time may be required.
• Work Type: Remote - Works from locations outside traditional office, often from home or another remote setting

Minimum Required Qualifications:

Education

• High School Diploma Experience
• 4+ years in revenue cycle, healthcare operations, or related experience
• Knowledge, skills, and abilities (required):
• Certification in Epic (e.g., Epic Resolute, Epic HIM, or Epic Registration modules)
• Excellent communication skills, with the ability to collaborate effectively with cross-functional teams
• High attention to detail and commitment to data accuracy and integrity
• Ability to manage multiple priorities in a fast-paced environment

Preferred Qualifications Education

• Bachelor's Degree in business administration, health info mgmt., or related field

Experience

• 6+ years experience revenue cycle, healthcare operations, or related experience Knowledge, skills, and ability requirements (preferred):
• Experience with root cause analysis and quality improvement initiatives in a healthcare setting
• Proficiency in Microsoft Excel and data reporting tools (e.g., Tableau, Power BI)
• Experience supporting patient access, registration, or clinical documentation improvement (CDI) teams

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Leave and Accommodations.  

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. 
 
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.