Revenue Integrity Data Analyst

The Rural Collaborative (TRC) is a 501c3 nonprofit organization that supports 28 rural public hospital districts in Washington State. Our mission is to create, defend, and design the future of rural health care through collective strategy and action. We are currently seeking an experienced Revenue Cycle Data Analyst to join our team. This position is part time and offers between 12-20 hours per week.

POSITION SUMMARY

The Revenue Integrity Data Analyst (Analyst) supports The Rural Collaborative Payer Strategy Initiative. The purpose of this initiative is to provide increased access and enhanced care to rural Washingtonians through contract standardization, administrative simplification, revenue cycle process improvement, and joint payer contracting.

Specifically, the Analyst will analyze and interpret various healthcare revenue cycle and payer data from different data platforms. The successful candidate will perform data extraction, validation, analysis, synthesis and reporting. The goal is to provide vital and timely information to rural hospitals to inform their negotiations and ongoing compliance with payers.

This individual will report to the Executive Director of the Rural Collaborative (Collaborative), with technical guidance from the Senior Director of Payer Contracting, and steerage from a small group of revenue cycle leaders from within the membership.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Actively supports the Collaborative’s culture [Respect, Trust, Joy and Ownership] through thought and deed.

• Represents the Collaborative in a positive and professional manner.

Revenue Integrity Data Analytics

• Extracts, transforms, and analyzes data from different data systems, across different payers and hospitals, in structured and unstructured formats.

• Performs quantitative analysis of data to produce reports and performance visualizations. Data are drawn from several data platforms. Data elements include but are not limited to de-identified claims from hospitals, remittance values, time between claim submission and remittance, negotiated payer rates provider-specific data on denial reasons and billed amounts.

• Presents meaningful analytics in non-technical terms and formats. Creates recurring and ad-hoc reporting for users.

• Develops dashboards or scorecards.

• Interprets data to inform payer contracting and revenue cycle performance

• Validates data accuracy.

QUALIFICATIONS

Education and Experience

• Bachelor’s degree required.

• Minimum of three years of experience in healthcare revenue cycle and/or revenue integrity data analysis.

• Experience working with claim denials, denial codes, and billing codes preferred.

• Critical access hospital and/or PPS hospital preferred.

• Technical report writing.

• Experience working at a Rural Collaborative member-facing organization directly with members preferred.

• Other combinations of education and experience, which would provide the applicant with the desired skills, knowledge and ability required to perform the job may be considered.

Knowledge, Skills & Abilities:

• Strong organizational skills with demonstrated experience setting priorities, producing timely results and meeting deadlines in a demanding work environment.

• Quick study with new data platforms.

• Excellent professional communication, a command of the English language in written and verbal communications.

• Proficient in data extraction, compilation, and analysis.

• Ability to maintain confidentiality, adhere to legal and internal policies, exercise judgment and discretion when communicating with Members, Health Plans and stakeholders.

• Self-motivated; able to take initiative and follow through with limited direction and in a remote work environment.

• High proficiency in the use of and/or demonstrated ability to learn office administration software, including but not limited to Microsoft Office suite, Adobe Acrobat, Monday, data report writers, etc.

• Willing to be flexible and to modify work schedule to meet position demands as needed.

Licensing & Special Requirements:

• Valid Driver’s license and reliable transportation with automobile insurance coverage equal to or greater than 100/300/100. Proof of license and insurance required by time of hire.

• For onsite presence at member public hospitals, incumbent must be able to meet hospital vendor requirements, including proof of COVID-19 vaccination.

• Incumbent is subject to a background check.

WORKING CONDITIONS & PHYSICAL REQUIREMENTS:

Remote work must be performed from the state of Washington. Infrequent travel may be required.

• May require standing or sitting for long periods of time.
• Position requires hand manipulative skills for word processing and writing.
• Must be able to hear verbal conversations over the phone and in-person with background noise.
• Must be able to consistently identify objects and persons at a distance and read fine print on various forms.