Northwestern Medicine · 3 months ago
Patient Accounting RAC Analyst
4525 Weaver Pkwy., Warrenville, IL
Full-time
Onsite
Mid, Senior Level
4+ years expNorthwestern Medicine is a leader in the healthcare industry, dedicated to providing a patient-first approach. They are seeking a Patient Accounting RAC Analyst to support Medicare and Medicaid Recovery Audit Contractor programs, generate financial information for RAC claims, and ensure compliance with documentation requests and deadlines.
Emergency MedicineHealth CareHospitalMedicalNutritionRehabilitation
Responsibilities
Monitor RAC program updates, as they relate to Patient Accounting and Patient Financial Service functions (i.e., Admitting & Registration and Patient Accounting). In conjunction with the Office of Corporate Compliance & Integrity and other areas, assist in the coordination of and perform various RAC related activities that are the responsibility of the PA department to ensure RAC documentation requests and deadlines are met
Monitors RAC related publications and resources to assist Patient Accounting management with understanding RAC related issues, as it relates to PA functions
Monitors and communicates potential RAC issues impacting Patient Accounting and compiles action/activity reports in support of corrective action/process improvement
Generates financial and other relevant information for RAC claims under review and researches and facilitates data gathering for Manager of Patient Accounting, Director of Patient Accounting and/or the Office of Corporate Compliance & Integrity providing data and/or various reports
Inputs RAC notation, DRG, claim, and reimbursement information related to RAC claims under review into appropriate systems (i.e., Primes, RACTracker, etc.) Collects, organizes, and interprets RAC data for identification and prioritization of areas of risk
Works with Office of Corporate Compliance & Integrity, Billing and other hospital areas to implement operational changes to ensure NM compliance with RAC requirements as they relate to PA functions
Works with the NM Academy and PFS Management to ensure timely, accurate, and regular Compliance Education and Training programs within PFS
Adjusts claim information in applicable systems to appropriately reflect accurate DRG, level of care, etc. for RAC claims under review
Assess/evaluate new RAC information and help determine required systems or operational actions
Document completely, issues and resolutions, on a case by case basis, providing a comprehensive audit trail
Consistently practice “Patients First” philosophy and adhere to high standard of customer service consistently for internal and external customers
Evaluate procedures and suggest improvements and changes to enhance customer service and operational efficiency
Performs other related duties as assigned by manager
Qualification
Required
Bachelors Degree or four additional years of relevant experience
4-6 years of hospital healthcare experience equivalent with specific government programs focus
Knowledge of Recovery Audit Contractor Program
Knowledge of ICD 9/10, CPT, HCPCS & MS-DRG coding, healthcare billing, medical records
Ability to review/analyze billing documentation including UB 04 bill form, CMS 1500 form, EOBs & remittance advices
Demonstrated ability to work with various levels within the organization regarding confidential information and maintain sensitive data
Expert user experience with MS Excel
Ability to run system queries & reports
Strong interpersonal skills, demonstrate ability to listen effectively
Excellent written and oral communication skills
Preferred
MS Word & PowerPoint ability
Coding credential (CCS, CPC-H, RHIT, RHIA)
Project Management
Benefits
Tuition reimbursement
Loan forgiveness
401(k) matching
Lifecycle benefits
Company
Northwestern Medicine
Northwestern Medicine is the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine around a strategic vision to transform the future of health care.
10001+ employees
H1B Sponsorship
Northwestern Medicine has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (75)
2024 (66)
2023 (70)
2022 (78)
2021 (35)
2020 (39)
Funding
Current Stage
Late StageTotal Funding
$25M2018-06-26Grant· $25M
Leadership Team
Howard Chrisman, MD
President and CEO
John A. Orsini, CPA
Senior Vice President and Chief Financial Officer
Recent News
2026-01-13
Near North Health
2025-12-01
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