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Revenue Cycle Operations Quality Assurance Analyst
3 months ago
The Revenue Cycle Operations Quality Assurance Analyst (RCO QA Analyst) will work with the Manager of Training & System Optimization to ensure that end user workflows, training and policy documentation, and IT Epic Systems updates meet RCO Quality Assurance standards.
Primary areas of ownership include: (1) completing end user workflow assessments and post live training, (2) maintaining the distribution methods and quality of RCO documentation, (3) partnering with IT to maintain excellent system/workflow quality, and (4) validating/triaging RCO tickets.
**Essential Job Statements**
- Runs end-user productivity and error rate reporting to identify opportunities for workflow improvement.
- Provides at the elbow support/training to workflow deficient end users with the goal of reducing registration errors and denials.
- Reviews and validates all training and policy documentation updates to ensure workflow validity and that documentation meet style and quality standards.
- Maintains documentation distribution methods for revenue cycle operations; includes managing document versions, index updates, SharePoint site updates, etc.
- Completes testing on new or updated workflows developed by the Process Improvement Team.
- Partners with Epic IT to ensure all RCO IT Updates meet QA standards.
- Collaborates with RCO leadership on planning and executing performance improvement initiatives.
- Effective support to Revenue Cycle operational areas including directors and their teams.
- Provides collaborative direction of operations to staff at all access points for practice/clinics.
- Standardizes training and creates the optimal end-user service experience.
- Identifies and pursues opportunities to improve value of operations through enhanced service offerings, improved operational efficiencies and/or cost reductions.
- Performs other duties as assigned and/or participates in special projects to support the mission of VCUHS. Accepts alternate assignments, as required to fulfill business/training needs.
**Patient Population**
Not applicable to this position.
**Employment Qualifications
**Required Education:
Bachelor’s Degree in Healthcare Administration, Business Administration Finance, Accounting or closely related field.
A combination of education and experience may be considered in lieu of a degree.
Preferred Education:
Master’s Degree Healthcare Administration; Business Administration Finance, Accounting or closely related field.
Licensure/Certification Required: N/A
Licensure/Certification Preferred:
Cadence, Prelude, Professional Billing, and/or Hospital billing Epic Certifications
**Minimum Qualifications**
Years and Type of Required Experience
Three (3) years of experience developing training materials and delivering training in a classroom, online, or in a one-on-one setting.
Three (3) years of related patient access experience in a Medical Office, Healthcare System, or Hospital.
Experience with Medical and Insurance terminology.
Other Knowledge, Skills and Abilities Required:
Strong understanding of Registration/Scheduling/Pre-Certification principles and workflows.
Strong communication skills; ability to communicate complex ideas clearly and simply.
Cultural Responsiveness
Demonstrates a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.
Other Knowledge, Skills and Abilities Preferred:
Strong understanding of Epic system functionality and configuration
**Working Conditions
**Periods of high stress and fluctuating workloads may occur.
General office environment.
Required to car travel to off-site locations, occasionally in adverse weather conditions.
May have periods of constant interruptions.
Prolonged periods of working alone.
**Physical Requirements**
Physical Demands: Lifting/ Carrying (0-50 lbs.), Push/ Pull (0-50 lbs.)
Work Position: Sitting, Walking, Standing
**Additional Physical Requirements/ Hazards**
Physical Requirements: Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements
Hazards:
**Mental/Sensory - Emotional**
Mental / Sensory: Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking
Emotional: Fast-paced environment, Able to Handle Multiple Priorities, Able to Adapt to Frequent Change
The Revenue Cycle Operations Quality Assurance Analyst (RCO QA Analyst) will work with the Manager of Training & System Optimization to ensure that end user workflows, training and policy documentation, and IT Epic Systems updates meet RCO Quality Assurance standards.
Primary areas of ownership include: (1) completing end user workflow assessments and post live training, (2) maintaining the distribution methods and quality of RCO documentation, (3) partnering with IT to maintain excellent system/workflow quality, and (4) validating/triaging RCO tickets.
EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
