About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Revenue Integrity Analyst Senior
Plays key role in development of policies, procedures designed to enhance, support and optimize revenue cycle integrity.
Applies a working knowledge of compliance with federal, state, local and third-party payer rules and regulations to complex audit projects, ensuring that the coding reflects what is documented in the medical record.
Serves as a clinical and coding knowledge expert; assists with updates and reviews appropriate charge master CPT, HCPCS and revenue codes with a focus on standardizing like items; working toward eventual implementation of a corporate charge master across McLaren subsidiaries.
In collaboration with Manager Corporate Revenue Integrity, develops processes and tools to analyze financial and clinical indicators to identify and remedy unexpected variances.
Works with hospital department leadership to implement internal controls when errors are identified.
Develops, analyzes and disseminates revenue cycle analyses (including third-party billing and charge description master) which will assist the management team, including senior management, in assessing and evaluating the strategic initiatives for the hospital.
- Bachelor’s degree required in nursing or related clinical field.
- Five years’ experience working with hospital clinical and financial data and expertise working with through these complex relationships to produce solutions that ensure revenue integrity.
- Two years proven experience in a revenue cycle process role with increasing responsibility.
- Coding certification
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
