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Revenue Cycle Quality Analyst

2 months ago

Milwaukee, United States Advocate Health Full time

Major Responsibilities:

  • Identifies, maps, measures, analyzes and improves clinical and business processes, problems and requirements for assigned application(s). Performs current and future workflow analysis and maps out critical business processes using industry standards and best practices.
  • Develops test plans, tests cases, and test scripts to validate performance of clinical/business functions. Conducts effective unit, integration, and end-user acceptance testing through execution of the tests, tracking of problem reports and documenting all final outcomes.
  • Facilitates clinical/business practice processes which result in successful software transitions and system utilization. Identifies and analyzes opportunities for application product development, optimization and technical improvements/changes that foster streamlined and integrated workflows.
  • In collaboration with information technology, translates user requirements into functional design specifications and reviews with users to insure accuracy. Ensures accurate data maintenance and reviews the technological impact of business requirements.
  • Develops and maintains process documentation including current workflows, requirements, functional specifications, installation instructions, product test procedures, user manuals, procedures and troubleshooting guidelines. Completes change and quality control documentation using department standards.
  • Reviews data integrity and audits reports to identify/resolve potential issues, and analyzes opportunities for system process improvements and/or product development. Collaborates with information technology to implements changes. Performs data analysis to support data requirements and initiatives.
  • Consults with providers, leadership, physicians, and other clinicians to identify problems and resolutions related to equipment, applications, and functionality.
  • Provides input into project timelines. Ensures projects are completed successfully within deadlines.


Licensure, Registration, and/or Certification Required:

  • None Required.


Education Required:

  • Bachelor's Degree (or equivalent knowledge) in Business Management.
  • Bachelor's Degree (or equivalent knowledge) in Computer Science or related field.


Experience Required:

  • Typically requires 3 years of experience in business process mapping, analysis, defining business and user requirements, acceptance testing and documentation with experience in the specific function/area supported.


Knowledge, Skills & Abilities Required:

  • Experience with application users, vendors and other technical experts, providing operational support for clinical systems, analyzing business and clinical processes, and providing user training/education.
  • Project management experience with ability to use project management software.
  • Necessary analytical skills to make sound recommendations based on data analysis, and clinical user needs, assuring maximum productivity, and continuous process improvement.
  • Ability to balance multiple tasks, be detail and results oriented, set appropriate priorities and accomplish assignments in a thorough and timely fashion.
  • Strong organizational, problem and issue resolution skills. Ability to gather and organize data.
  • Strong communication skills.
  • Intermediate computer skills including experience in using the Microsoft Office Suite (Word, PowerPoint, Excel, Access) or similar products and experience with large scale automated systems.
  • Understanding of change management practices and procedures.


Physical Requirements and Working Conditions:

  • Exposed to normal office environment.
  • Job may require travel, therefore, may be exposed to road and weather hazards.
  • Must be able to lift up to 40 lbs. occasionally.
  • Sits the majority of the workday, but also may lift, reach, and bend throughout the day.
  • Operates all equipment necessary to perform the job.

#Remote

#LIRemote

Preferred remote locations in IL, WI, NC, GA

Fully Remote Role from these states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY.
Due to complex requirements, remote work is NOT permitted for short or long periods in: CA, CO, CT, HI, MA, MD, MN, NJ, NY, OR, RI, VT, WA and working Internationally (this includes working while on vacation).

No relocation, No Sponsorship for this position.


This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.