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Sr. Revenue Integrity Analyst Full Time Hybrid

2 months ago

Troy, United States Henry Ford Health System Full time

GENERAL SUMMARY:

Reporting to the Manager, Revenue Integrity, Revenue Integrity Senior Analyst has an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation.

Under supervision from the Director or Manager, Revenue Integrity, the Revenue Integrity Senior Analyst develops and implements a comprehensive program to collect data and effectively report information to a variety of customers. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills. Through the use of data, system reports, and analytics, the Revenue Integrity Senior Analyst will support the needs of the Revenue Integrity Team. This position will help to optimize charge capture and revenue cycle processes by validating, evaluating, and trending large amounts of data for presentation to all levels of the organization. The Revenue Integrity Senior Analyst works collaboratively with leadership to increase efficiencies, reduce variability, reduce errors/defects, and involve all appropriate personnel. Serves as a technical consultant to other HFHS departments. May supervise work of Revenue Integrity Analysts as well as other staff within the Revenue Integrity Department. Communicates regularly with Management on specific projects. Flexibility, innovation, and creativity are necessary characteristics of the successful candidate. Individual is expected to continuously learn and apply new continuous improvement methodologies, and to spread successful innovation through the institution.

The Revenue Integrity Senior Analyst develops and implements a comprehensive program to collect data and effectively report information from data to a variety of customers. The customers and end users of this support service include physicians, other clinical service and hospital leaders, physician groups, the Board of Trustees, System leadership and external oversight/regulatory bodies. This position generates reports and supports comparative data base assessment and maintenance regarding strategic and operational performance for performance review, operational effectiveness and improvement efforts. The Revenue Integrity Senior Analyst is a highly analytical thinker with talent for scrutinizing diverse data sources to identify areas of improvement in the revenue cycle process.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

•Has a good understanding of business unit operations and can "connect the dots" between projects/initiatives (potentially system-wide or at various business units and throughout the healthcare continuum including clinical and administrative departments) to create synergies.

•Rises to the varying demands of high pressure/deadlines with greater complexity and ambiguity. Anticipates and quickly adapts to meet needs of audience/clients/project.

•Works collaboratively and manages project work plan with resources identified, including facilitating the following: assignment of tasks, setting deadlines, appropriately sequencing tasks, and defining the critical path of cross-business unit. Adjusts as necessary.

•Demonstrates anticipation of needs and is able to quickly and clearly identify/define information required in order to make the next decision.

•Understands best practice and regulatory standards and applies regularly to projects.

•Independently understands driving factors for data needs and provides data in addition to specific requests when the Revenue Integrity Senior Analyst anticipates it will be needed to answer the question or make the decision at hand. Is able to create complex queries involving multiple tools (SQL, etc.) and/or query techniques using complex data sets.

•Learns the process responsible for producing the data used. Develops appropriate techniques to gather data, streamlining and automating to the most prudent use possible. Validates data/reports prior to sharing.

•Explores and recommends measurement strategies including authenticating data results.

•Demonstrates competency with broad range of analytical tools; is a known coaching resource for others.

•Provides necessary data analysis to support quality initiatives and measurement from a clinical and revenue integrity perspective.

•Comfortable and effective in interacting independently with Administrative and Physician leaders and demonstrates ability to discuss data that leads cross-functional teams towards a goal/objective. Data is presented in such a way that all audiences understand.

•Shows no hesitation about taking the lead in any situation, even in the presence of significant ambiguity.

•Other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

  • Expert in the use of Microsoft Office products - Excel, Access, PowerPoint, Word
  • Experience in the use of a structured query language in a relational database
  • Experience in the use of HFHS Corporate Data Stores a plus
  • Experience in the use of a programming language also a plus
  • Experience in EPIC Clarity a plus


EDUCATION:

A Bachelor's degree with a health care, science or business focus and strong technical computer knowledge or a Bachelor's degree in computer science with strong health care experience is required. Master's degree (MHA or MBA), preferred.

MINIMUM EXPERIENCE:

3-5 years in a Healthcare or Business Setting

Advanced SQL, Excel, PowerBI skills.