Revenue Integrity Business Analyst

Job ID

68809

Location

Aurora, Colorado

Full/Part Time

Full-Time

Regular/Temporary

Regular

Why Work at Children's....

Here, it’s different. Come join us.

Children's Hospital Colorado has defined and delivered pediatric healthcare excellence for more than 100 years.

Here, the nation’s brightest nurses, physicians, scientists, researchers, therapists and care providers are creating the future of child health. With an optimist’s outlook, a trailblazing spirit and a celebrated history, we’re making new strides every day.

We’ve been Magnet-designated four times by the American Nurses Credentialing Center and are consistently recognized among the nation’s top 10 pediatric hospitals by U.S. News & World Report. 

As a national leader in pediatric care, we serve children and families from all over the nation. Our System of Care includes four pediatric hospitals, 12 specialty care centers, 400 outreach clinics and 7,000 healthcare professionals representing the full spectrum of pediatric care specialties.

We need your expertise.

A career at Children's Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child. Here, it’s different. Do you have what it takes?

Additional Information

Department: Revenue Integrity

Hours per week: 40, eligible for benefits

Shift: M-F 8-5

Job Overview

The Revenue Integrity Business Analyst analyzes industry trends and data in order to formulate actionable insights and business strategies in conjunction with our Revenue Integrity Charge Auditors, Pricing Analysts, and Charge Masters. The Analyst provides operation analytics to support functional business area, departmental goals and business outcomes.  The Analyst coordinates reporting activities for department/unit and provides systems training and support.

Responsibilities

POPULATION SPECIFIC CARE

No direct patient care.

ESSENTIAL FUNCTIONS

An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform.

Identifies and analyzes a variety of data sets including industry trends and develops actionable insights and business strategies.

Collaborates with clinical service line leaders to support charge capture services and develop revenue opportunity focus areas to improve ongoing revenue capture.

Serves as subject matter expert related to charging and billing issues and assists in developing and maintaining CDM related policies and procedures.

Audits charges being captured by clinical departments for accuracy and completeness. Ensures that charges are crossing to the bill as intended.

Maintains knowledge of inpatient and outpatient billing requirements, coding guidelines, CMS Medicare reimbursement methodologies, and chargemaster components (HCPCS, Rev Codes, etc).

Completes moderate to complex detailed data collection and analysis.

Creates, reviews, analyzes, and maintains accurate reports. Ensures the integrity and quality of data and reports.

Creates and manages a wide variety of reporting tools.

Creates business intelligence tools or systems to analyze and report key metrics.

Develops and maintains training and training resources for end users.

Assists in completion of needs analysis for department/unit.

Communicates and disseminates information regarding tools, report, analysis, and data enhancements.

Other Information

SCOPE AND LEVEL

Guidelines: Guidelines are generally numerous, well established, and directly applicable to the work assignment.  Work assignment and desired results are explained by general oral or written instructions.

Complexity: Duties assigned are generally repetitive and restricted in scope but may be of substantial intricacy.  Employee primarily applies standardized practices.

Decision Making: Decisions or recommendations on non-standardized situations are limited to relating organizational policies to specific cases.  Brings non routine issues to supervisor. Problems that are not covered by guidelines or are without precedent are taken up with the supervisor.

Communications: Contacts with the public or employees where explanatory or interpretive information is exchanged, gathered, or presented and some degree of discretion and judgment are required within the parameters of the job function.

Supervision Received: Under normal supervision, within a standardized work situation, the employee performs duties common to the line of work without close supervision or detailed instruction.  Work product is subject to continual review.

Qualifications

EDUCATION – - Bachelor’s degree in Business, Health Care Administration, Finance or a related field.

EXPERIENCE – Three years of previous experience in revenue integrity, data analytics and/or operational analysis. 

EQUIVALENCY – Professional experience, beyond requirements, in a related field may substitute for a Bachelor degree requirement on a year for year basis.

Physical Requirements

Ability to Perform Essential Functions of the Job

Audio-Visual: Hearing: Good

Audio-Visual: Near Vision: Good

General Activity: Sit: 2-4 hrs. per day

Weight Lifted/Force Exerted: Up to 10 pounds: 1/3 or more of time

Work Environment

Mental and Emotional Requirements: Independent discretion/decision making.

Mental and Emotional Requirements: Makes decisions under pressure.

Mental and Emotional Requirements: Manages stress appropriately.

Mental and Emotional Requirements: Works with others effectively.

Equal Employment Opportunity

It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation.  Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information.

Salary Information

Annual Salary Range (Based on 40 hours worked per week): $57,085.51 to $85,628.26

Hourly Salary Range: $27.44 to $41.17

Benefits Information

As a Children’s Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, 403b employer match (retirement savings), and a robust wellness program.

Salary : $27 - $41