Revenue Cycle Systems Analyst

McPherson Hospital -

Job Summary :

Responsible for performing operational analysis of revenue cycle processes and functions. Identifies opportunities to ensure revenue management processes meet customer and organizational expectations and requirements. Assists with various revenue cycle process review and data analysis functions to optimize revenues in a manner compliant with regulatory agencies.  Participates in various Revenue Cycle meetings as needed.

Essential Accountabilities :

• Develop and maintain reporting solutions for key metrics, including but not limited to Accounts Receivable (A / R), claims, reimbursement, cash posting, collections, productivity, chargemaster, pricing, and contract management data modeling.
• Analyzes and interprets data and provide recommendations for strategic and operational improvements in alignment with hospital goals and objectives.
• Promotes effective utilization of Electronic Health Record (EHR) software and works closely with end-users to identify and troubleshoot problems relating to applications. Identifies opportunities for additional education or system improvement. Collaborates with Informatics and Information Systems teams as well as third-party software vendors.
• Analyzes revenue cycle workflows, identifies opportunities for improvement or redesign, and works with cross-functional teams to create and implement change.
• Serves as subject matter expert for EHR implementation and post-implementation.
• Supports clinical areas in charge capture, coding accuracy, and revenue management in order to ensure uniformity of charges.
• Creates and delivers ad hoc reports to leadership upon request.
• Assist in the development of strategies to meet various revenue cycle goals such as reductions of days in A / R, denial reductions, and collection percentages.
• Reviews claims submission and remittance data to monitor claims and reimbursement for accurate and timely completion; work with clinical departments to identify root cause of process breakdowns resulting in improper billing and / or collections.
• Assists with various projects including charge capture and reconciliation, chargemaster standardization, and patient liability module updates.
• Participate in Revenue Cycle Meetings and other meetings as designated.
• Participates in ongoing education and workshops to stay current on industry and regulatory changes.
• Other duties as assigned.

Department Specific Accountabilities :

Organization Accountabilities :

Qualifications :

Education : Bachelors of Business in Management, Finance, or Accounting, preferred

Experience : Five years of healthcare experience including Revenue Cycle functions.

Skills : Ability to read, analyze and interpret common healthcare regulations, financial reports, and legal documents. Ability to calculate figures and amounts as related to patient accounts, discounts, insurance payments, etc. Ability to accomplish multiple tasks in a timely, accurate manner with good oral and written communication. Medical / Hospital software usage. Computer knowledge, Word, Excel, Power Point, Outlook, EMR systems, etc.

Working Conditions :

Hazardous Working Conditions : None

Environmental Surroundings : None

Physical Working Conditions : Sitting for extended periods of time.

Benefits :

We are an equal opportunity employer and prohibit discrimination / harassment without regard to race, color, religion, age, sex, national origin, disability, status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.