Analyst

Revenue Cycle Integrity Analyst

The Revenue Cycle Integrity Analyst is a key member of the Revenue Cycle Team reporting directly to the Director of Revenue Cycle Integrity. This position is responsible for identifying trends, collaboratively working with leadership to produce in-depth reporting that will help improve the revenue cycle performance within the Ambulatory Hospitals of UnityPoint Health. This Analyst will be responsible for creating dashboards, managing and monitoring all aspects of the hospital related revenue stream. This role will have ongoing interaction with hospital leadership, hospital revenue cycle staff, coding staff, billing staff, and IT teams.

This individual will focus on implementing and supporting continuous improvement in key revenue cycle functions including Registration, Coding, and Billing. The Analyst will maintain a good working relationship with all hospitals to ensure clear communication and a collaborative approach to implementing best practice processes.

Location : Remote - Applicants must reside in the UnityPoint Health geography of Iowa, Illinois, or Wisconsin.

Hours : Monday-Friday, day shift

At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few : Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

Revenue Cycle Improvement

• Analyzes data to identify opportunities for process improvement
• Applies analytic principles and is able to organize, interpret and communicate data related to revenue integrity
• Develop and produce reporting that will create accountability and drive change
• Develops and complete critical Revenue Cycle projects by collaborating with key stakeholders across UnityPoint Health - These projects affect business operations to a substantial degree
• Collects, monitors and analyzes data, and provides recommendations to hospital leadership to drive better performance throughout the revenue cycle
• Responsible for decision making to improve and impact charge issues, complex claims processing workflows and regulations
• Provides expert consultation to leadership as the subject matter expert for revenue cycle data
• Interprets existing revenue cycle policies and operating practices to make recommendations for improvements
• Responsible for maintaining in-depth understanding of the entire revenue cycle
• Responsible for troubleshooting registration, coding, and correct coding initiative (CCI) edits
• Research and resolve charge review, claim edit, and denial in assigned work ques(WQ)
• Liaison for the billing office team members - Answering questions and troubleshoot accounts as needed
• Maintain understanding of new rules and regulations related to billing
• Research new service line rules and regulations
• Responsible for self-monitoring of WQs and identifying potential charging issues

Performance Monitoring / Revenue Integrity

Denials Management

Qualifications

High School Diploma or GED - bachelor's degree preferred in Healthcare Administration, Business, Mathematics, or Computer Science

4 years of progressive experience in revenue cycle / medical billing - 2 years of experience in healthcare analytics preferred

Valid driver's license when driving any vehicle for work-related reasons

Strong skills including professionalism, interpersonal skills, ability to communicate effectively through written and verbal methods, process improvement skills

Fluent with Epic and Microsoft office programs

Ability to manipulate large amounts of data

Demonstrated decision making as it relates to processing, reconciling, and ensuring the accuracy of revenue and charge activity

Knowledge of entire revenue cycle process Knowledge of medical terminology and coding