Sr Revenue Cycle Analyst - Rochester, United States - University of Rochester

Description

Responsibilities


Job Summary:

In direct support of the URMC United Business Office (UBO), this position will serve as a Senior-Level resource for data analysis within the United Business Office to identify and prevent recurrence of issues that can cause revenue leakage.

The position will work collaboratively with colleagues within the UBO, charging departments, URMC Revenue Integrity team, HIM, ISD, Compliance and other key stakeholders to lead initiatives to improve procedures, strengthen controls and enhance revenue and improve reimbursement.

Serves as a lead in directing the process to bridge clinical workflows and billing workflows through analysis of Epic charge sources.

Working with the Revenue Integrity manager to collaboratively resolve charge issues with our application coordinators on the various Epic Applications; Resolute, Cadence, Willow, Radiant, OpTime, Cupid, and Patient Financial Services.

Applying clinical workflow knowledge to assist the analyst on next steps in gathering information, analyzing and interpreting data, to get to the root cause.

Works closely with a Technical Analyst in providing recommendations for the build design of our accounts receivable system to ensure optimal revenue for the organization.

Supervised by:
Andrea DeMartinis

Responsibilities Include but are not limited to:

40% Under the direction of the UBO Revenue Integrity Manager, leads project initiatives with UBO Leadership, Revenue Cycle Advisors, department leadership and other stakeholders. The scope of responsibility within these project initiatives includes but are not limited to, newly acquired practices, new lines of business, new billing initiatives, new charge(s), coordination of coding and payer guidelines, pricing, and system edit/rule design. Prepares reports, identifying and tracking trends to develop best practice standards in our Epic Resolute application (PB). These best practice standards require making recommendations for the integration of professions billing (PB) and clinical workflow system design in our Epic applications; Willow, Radiant, Cupid, OpTime, etc. to ensure charging is at optimal performance with minimal impact to the clinical workflow. As part of developing best practice standards, work with the technical analyst to determine, test, and implement specific edits/rules to route to billing work queues as appropriate.

30% Evaluates and becomes familiar with the charging performance of professional billing and professional based billing protocols and models for the UBO. May write or assist in writing best practice standard procedures that control charging. Work in collaboration with our key stakeholders to assist them understanding the Epic tools and operational processes to accommodate each department/provider in ensuring optimal revenue. Help document and map out tools for new business; acquisitions, implementations, system build/design to meet the ever-evolving changes related to healthcare.

20% Expert in Revenue Integrity and acts as a resource to the analysts for complicated workflows, build/ design of Epic system. Intake and coordinator of Revenue Integrity requests; assist with Revenue Integrity project list and prioritization, administrative facilitation and coordination of enterprise-wide initiatives; implementations, acquisitions, DEP/PBB forms, SBARS, and any projects deemed Revenue Integrity.

10% Support and serves as backup for the Revenue Integrity Analyst.


Knowledge, Skills, and Abilities:

• View issues from technical, operational, and clinical perspectives
• Detail oriented and able to deliver neat and organized work
• Demonstrate initiative, excellent time management skills, and organizational capabilities
• Ability to multi task; working on different projects simultaneously

Minimum Education and Experience:

Bachelor's degree with major course work in social or technical field, and advanced degree in Healthcare Analytics, Information Science or related field desirable, and 4-5 years' experience in the analysis and dissemination of information plus supervisory experience; or an equivalent combination of education and experience.

NOTE:
This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.

The University of Rochester is committed to fostering, cultivating, and preserving a culture of equity, diversity, and inclusion to advance the University's mission to Learn, Discover, Heal, Create – and Make the World Ever Better.

In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion/creed, sex, sexual orientation, citizenship status, or any other status protected by law.

This commitment extends to the administration of our policies, admissions, employment, access, and recruitment of candidates from underrepresented populations, veterans, and persons with disabilities consistent with these values and government contractor Affirmative Action obligations.

How To Apply
All applicants must apply online.
_EOE Minorities/Females/Protected Veterans/Disabled_

Pay Range

Pay Range:
$59,280 - $77,064 Annually
_The referenced pay range represents the minimum and maximum compensation for this job.

Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

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Location: Medical Faculty Group


Full/Part Time: Full-Time


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