Revenue Cycle Analyst

DCH Health System - Tuscaloosa, AL

Full-time

Hybrid - Tuscaloosa, AL

Hospitals

About the position

The position coordinates the information systems of registration (patient access), billing, and collection functions of DCH Health System. The individual will assist the Assistant Director of Patient Access in analyzing patient accounts and revenues to maximize cash flow and efficiency, ensuring that the system, facility, and departmental objectives are met while maintaining a high level of customer satisfaction. A sound knowledge of quantitative data analysis is essential, as the role requires translating data into informed business decisions that optimize DCH and departmental strategic objectives. This position will work directly with both Patient Access and Patient Accounting to report and identify improvement opportunities related to strategic and operational goals. Key responsibilities include conducting routine audits to ensure the integrity of data flowing from the Electronic Health Record (EHR) into the external billing system, maintaining EHR patient access dictionaries, and developing improved revenue cycle processes related to patient intake, authorization, and timely billing. The role also involves defining and documenting patient access data sources, preventing payment delays, and performing root cause analysis for process or workflow issues impacting reimbursement. The individual will discover inefficiencies and recommend operational improvements to the Assistant Director and Director of the department, assist in developing policies and procedures for patient access, and maintain third-party systems while working directly with vendors to achieve optimal outcomes. Additionally, the position requires cross-training with the Revenue Integrity Project Analyst to serve as a backup in their absence, assisting in building automated account checks to prevent claims from leaving the institution in error, and providing technical and strategic input to the leadership team to drive transformational changes. The role adheres to DCH standards, maintaining performance, patient and employee satisfaction, and financial standards as outlined in the performance evaluation. Compliance with the Employee Handbook and DCH Behavioral Standards is mandatory, ensuring positive relationships with patients, families, coworkers, and self, while performing essential job functions safely and reducing risks and hazards.

Responsibilities

• Conducts routine audits to ensure the integrity of data coming from Electronic Health Record (EHR) into the external billing system.
• Maintains EHR patient access dictionaries including building queries and worklists.
• Develops and implements improved revenue cycle processes and procedures related to patient intake, authorization and timely bill processes.
• Defines and documents patient access data sources of truth and definitions per project.
• Prevents payment delays by ensuring dictionary account settings are setup and tested in a timely manner.
• Works downtimes as needed and tests for EHR upgrades.
• Identifies and performs root cause analysis for process or workflow issues that impact reimbursement.
• Discovers inefficiencies and recommends alternative options to the Assistant Director and Director of the department regarding operational improvement.
• Assists in developing policies and procedures for patient access.
• Maintains third party systems and works directly with vendors to achieve optimal outcomes.
• Cross trains with the Revenue Integrity Project Analyst to serve as backup in absence.
• Assists the patient accounting Senior Informaticist in building automated account checks to prevent claims from leaving the institution in error.
• Completes account checks and clearinghouse worklists to ensure claims accuracy before submission to payers.
• Provides technical and strategic input to leadership team to help drive transformational changes.

Requirements

• Bachelor's degree or two years' experience in healthcare required.
• Strong analytical, mathematical and report writing skills.
• Proficient with Word, Excel and PowerPoint.
• Excellent communication and interpersonal skills.
• Ability to read, write legibly, speak, and comprehend English.