• Develops, designs, and maintains visuals and/or reports.
  • Monthly business unit or cost center reports to explain revenue variances
  • Ad hoc reporting and provide necessary data to investigate revenue variances in requesting business units
  • Business unit and cost center detail reports and service volume reports
  • Daily charge reconciliation, open encounters, charge adjustment, late charge, and other reconciliation reporting tools
• Investigates, compiles, analyzes, accurately interprets, and validates data.
• Summarizes findings and opportunities identified in the data to support leadership decision making.
• Supports the creation of educational materials for staff and process improvement of revenue integrity reporting tool usage with business unit customers.
• Acts as a point of contact/subject matter expert for application process and maintains a strong understanding of system functionality, software applications, and business workflow and objectives to appropriately interpret data and support leadership decision making.
• Applies critical thinking knowledge to core functions to take action and ensure escalation of system problems and operational needs.
• Outlines requirements for new analytic tools including necessary fields, appropriate calculations, data definitions, and integration points.
• Researches, documents, and facilitates resolution to issues reported by end-users
• Tests, identifies new conditions to test, and analyzes results of testing of new workflows and system functionalities
• Responds to customer-initiated requests for reporting tools, education, and analysis of possible variation in charging or revenue for a given business unit, cost center or service line
• Defines and co-develops business requirements that allows for optimization of the system to enhance operational workflows.
• Identify charge capture opportunities through analysis of revenue reports, contributing to the process or enablement of collecting expected payment
• Develops and maintains relationships with key partners to research and develop potential solutions to systematic issues
  • Work with nurse auditors, charge capture coordinators, CDM analysts and/or service line customers to assist with additional reporting or education needs necessary to identify and fix charge issues leading to reduced business unit revenue
  • Work with CDM team to build usage reports to support business unit tracking of productivity units via charges
  • Partners with Clinical Informatics and clinical caregivers in decision making.
• Ensures completion of timely and accurate work
• Understands and adheres to Revenue Cycle’s Escalation Policy
• Contributes to the process or enablement of collecting expected payment

Required

Education

• Associate degree in applicable field or, in lieu of an associate degree, 2 years of experience in applicable business-related field.

• 2 Years of applicable business healthcare experience.
• Must understand revenue cycle operations, clinical operations, and have a working knowledge of computer systems and systems life cycle

• None

Preferred

Education

• Associate degree

• Epic certifications
• Industry-level certifications such as AACN, HIMSS, Lean, etc.

• Current Epic certification(s)