Revenue Cycle Analyst I

Vidant Health - Greenville, NC

Hybrid - Greenville, NC

Hospitals

About the position

The Revenue Cycle Analyst is responsible for analyzing and optimizing revenue cycle processes. This includes analyzing revenue cycle data, identifying opportunities for improvement, and implementing strategies to increase revenue and improve patient satisfaction. The Revenue Cycle Analyst team lead will require direct working relationships with management and key staff members in Revenue Cycle.

Responsibilities

• Identify trends; provide documentation, data/reporting to Revenue Cycle Management and owning area key stakeholders, offer suggestions for process improvement, and develop countermeasures in conjunction with operational areas.
• Regularly tracks and analyzes data to identify, recommend, and implement opportunities to secure revenue for the organization; Analyzes and reviews third-party payer medical claims and develops and executes strategies to decrease denials system-wide.
• Identifies trends or patterns that impact payment optimization, and collaborates with departments to establish action plans, initiatives, and policies to reverse negative patterns.
• Researches and analyzes applicable regulatory, coding, and billing rules and educates departments on system application regulations and process requirements.
• Identifies revenue opportunities and provides appropriate investigation, follow-up, and resolution.
• Analyzes trends and inefficiencies in charges and recommends suitable operational improvements in an effort to prevent incorrect payments and denials.
• Complete monthly standard reports: Parse and share trends and data to operational areas for review on a monthly basis; attend needed follow-up calls for support in operational reviews amongst owning areas.
• Develop and maintain Revenue Cycle department intranet site.
• Serves as an active team member; participates in department and company-wide initiatives; contributes to the overall culture.
• Maintains tracking documents and dashboards.
• Conduct special projects as needed.
• Perform other related duties as required.

Requirements

• Bachelor's degree or higher in Accounting, Finance, Mathematics, Data Science, Statistics or 5+ years of related work experience can be substituted for degree.
• Epic Resolute certification (must obtain within 6 to 8 months from date of hire).
• Knowledge of third-party application integrations (supply chain, transcription, productivity tools, general ledger, and other revenue cycle management vendors).
• Skilled in gathering and documenting user requirements, performing design/build.
• Writing/executing test scripts and performing ongoing maintenance and support.
• Skills supporting Epic module implementations, optimization, and troubleshooting.
• Ability to utilize Microsoft Excel and Power BI on a routine basis and will need to be an advanced user of these products.
• Demonstrated time management skills and ability to handle multiple priorities with shifting time frames and meet deadlines.
• Strong organizational skills with the ability to work on multiple, complex projects with high quality results.
• Understanding of Medical terms and acronyms.
• Reasoning skills and ability to articulate logic behind decisions.
• Excellent communication skills, both written and verbal that present clear and concise information to a diverse audience.
• Appreciation of timeliness with resolving issues and determining priorities.
• Strong planning and delegation skills including ability to develop and cross-train staff.
• Solid understanding of Epic and Epic business tools.

Nice-to-haves

• Epic PB/HB Resolute, Cadence and Prelude certification.

Benefits

• Diversity and inclusion commitment.