Revenue Cycle Improvement Analyst

Location
Silver Spring, Maryland-Silver Spring
Posted
Sep 18, 2020
Closes
Sep 23, 2020
Ref
200001KF
Function
Nurse
Industry
Healthcare
Hours
Full Time
The Revenue Cycle Improvement Analyst is responsible for identifying and managing process improvements initiatives that drive net revenue improvement. The Revenue Cycle Improvement Analyst is responsible for executive dashboard reporting, revenue cycle reporting, and other reporting to meet the financial needs of the organization. The Revenue Cycle Improvement Analyst will lead recurring meetings with clinical and Revenue Cycle leadership to review analytics and provide updates on process improvement initiatives. The Revenue Cycle Improvement Analyst will report to the Director of Revenue Cycle Analytics.

Qualifications

Minimum Education
Bachelor's Degree (Required)

Minimum Work Experience
5 years - Healthcare experience in finance, decision support, clinical operations, or related financial analysis background. (Required) And

5 years - Revenue Cycle operations experience. (Preferred) And

2 years - Experience with managing projects or process improvement initiatives. (Preferred) And

1 year - Experience with hospital/physician information and Revenue Cycle information systems. (Preferred)

Required Skills/Knowledge
Proven analytical skills including, ability to identify trends and areas for improvement and make recommendations based on financial analysis.
Have superior technical skills including proficiency in the Microsoft Suite of applications (Word, Excel, PowerPoint, Access).
Robust understanding of the revenue cycle processes.
Demonstrated ability to facilitate team or group activities and demonstrated leadership qualities including professional verbal and written communication skills.
Ability to project manage performance improvement initiatives related to improving processes and financial performance.
Ability to deliver results on time, on budget, and to the very highest standards.
Ability to support the VP of Revenue Cycle, Finance and the CFO with key reporting and trending relating to overall business intelligence including denial management, vendor management and Key Performance Indicator (KPI) dashboards.
Ability to work efficiently under pressure and to tight deadlines.
Demonstrated ability to be flexible and to prioritize workload, decision-making skills, and professional development through participation in continuing education and professional organizations.
Ability to train clinical staff on new technologies and processes, and to analyze workflow for process improvement.
Ability to partner with external parties, including technology vendors.
Experienced in department budget, contract modeling, healthcare statistics and interpersonal communication preferred.

Functional Accountabilities

Clinical Department Partnership
1. Create monthly analytics workbook for clinical departments and service lines focused on gross revenue, denials, cash, and coding related metrics.
2. Present analytics workbook to clinical department and service line leadership on recurring basis.
3. Identify revenue improvement opportunities through analysis of data and review of current processes.
4. Manage implementation and completion of process improvements through partnering with appropriate clinical and revenue cycle teams leading to measureable success.
5. Manage ad hoc report requests received from other departments in the organization.

Revenue Cycle Strategic Planning and Reporting
1. Contribute to the strategic plan for Revenue Cycle services, including the rollout of monthly analytics workbooks to additional clinical departments and service lines.
2. Appropriately utilize industry information (e.g. from HFMA, AAHAM, etc.) and CNMC peer resources (e.g. State Hospital Association, CHA) to understand national and regional trends, peer hospital innovations, successes, and benchmarks related to revenue cycle, specifically denials management.
5. Provide strategic support of AR Strategy as it relates to items such as reporting and identify focus areas for improvement.

Program and Service Administration and Implementation
1. Responsible for overall Revenue Cycle Dashboard reporting on both a weekly and monthly basis, which includes data mining and report interpretation to ensure key themes are identified, addressed and escalated appropriately to VP of Revenue Cycle.
2. Collaborate with upper management to evaluate current as well as new program initiatives for effectiveness, feasibility, performance measurement and cost; ensure compliance with organizational and departmental policies and procedures, and regulatory standards.
3. Analyze data on all Revenue Cycle KPIs related to Patient Access, Patient Accounting, and Revenue Integrity.
4. Manage improvement initiatives related to opportunities identified from Revenue Cycle reporting.

Information Resources Management
1. Acts as the "super user" of Revenue Cycle reporting tools; provide key input and participation on any system upgrade or enhancement affecting these systems.
2. Utilize multiple IT systems to manage analysis, issue research and resolution, and process improvement implementation.
5. Routinely identify enhancements to reports and/or tools to support leading practice processes and facilitate continuing Revenue Cycle improvement; provide content expertise in the development, implementation, revision and management of data systems that support the Revenue Cycle.
6. Actively support initiatives related to Revenue Cycle and ensure organizational preparedness and compliance (such as Cerner Revenue Cycle implementation).
5. Serve as key resource for Revenue Cycle reporting vendors; manage tasks related to these vendors.

Budget and Financial Management
1. Work with Director of Revenue Cycle Analytics and Vice President of Revenue Cycle throughout the year and participate in the budgeting process to identify volume impacts, equipment needs, resource needs.
2. Implement actions to administer programs within budgetary guidelines.
3. Mitigate financial risks for the organization and departments with the organization associated with the processes and programs reporting to the Vice President.

Children's National Health System is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law.

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