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Revenue Cycle Improvement Analyst

2 months ago

Silver Spring, United States Children's National Hospital Full time

The Revenue Cycle Improvement Analyst is responsible for identifying and managing process improvements initiatives that drive net revenue improvement. The Revenue Cycle Improvement Analyst is responsible for executive dashboard reporting, revenue cycle reporting, and other reporting to meet the financial needs of the organization. The Revenue Cycle Improvement Analyst will lead recurring meetings with clinical and Revenue Cycle leadership to review analytics and provide updates on process improvement initiatives. The Revenue Cycle Improvement Analyst will report to the Director of Revenue Cycle Analytics.

Qualifications:
Minimum Education
Bachelor's Degree (Required)

Minimum Work Experience
5 years Healthcare experience in finance, decision support, clinical operations, or related financial analysis background. (Required) And
5 years Revenue Cycle operations experience. (Preferred) And
2 years Experience with managing projects or process improvement initiatives. (Preferred) And
1 year Experience with hospital/physician information and Revenue Cycle information systems. (Preferred)

Required Skills/Knowledge
Proven analytical skills including, ability to identify trends and areas for improvement and make recommendations based on financial analysis.
Have superior technical skills including proficiency in the Microsoft Suite of applications (Word, Excel, PowerPoint, Access).
Robust understanding of the revenue cycle processes.
Demonstrated ability to facilitate team or group activities and demonstrated leadership qualities including professional verbal and written communication skills.
Ability to project manage performance improvement initiatives related to improving processes and financial performance.
Ability to deliver results on time, on budget, and to the very highest standards.
Ability to support the VP of Revenue Cycle, Finance and the CFO with key reporting and trending relating to overall business intelligence including denial management, vendor management and Key Performance Indicator (KPI) dashboards.
Ability to work efficiently under pressure and to tight deadlines.
Demonstrated ability to be flexible and to prioritize workload, decision-making skills, and professional development through participation in continuing education and professional organizations.
Ability to train clinical staff on new technologies and processes, and to analyze workflow for process improvement.
Ability to partner with external parties, including technology vendors.
Experienced in department budget, contract modeling, healthcare statistics and interpersonal communication preferred.

Functional Accountabilities
Clinical Department Partnership

  • Create monthly analytics workbook for clinical departments and service lines focused on gross revenue, denials, cash, and coding related metrics.
  • Present analytics workbook to clinical department and service line leadership on recurring basis.
  • Identify revenue improvement opportunities through analysis of data and review of current processes.
  • Manage implementation and completion of process improvements through partnering with appropriate clinical and revenue cycle teams leading to measureable success.
  • Manage ad hoc report requests received from other departments in the organization.
Revenue Cycle Strategic Planning and Reporting
  • Contribute to the strategic plan for Revenue Cycle services, including the rollout of monthly analytics workbooks to additional clinical departments and service lines.
  • Appropriately utilize industry information (e.g. from HFMA, AAHAM, etc.) and CNMC peer resources (e.g. State Hospital Association, CHA) to understand national and regional trends, peer hospital innovations, successes, and benchmarks related to revenue cycle, specifically denials management.
  • Provide strategic support of AR Strategy as it relates to items such as reporting and identify focus areas for improvement.
Program and Service Administration and Implementation
  • Responsible for overall Revenue Cycle Dashboard reporting on both a weekly and monthly basis, which includes data mining and report interpretation to ensure key themes are identified, addressed and escalated appropriately to VP of Revenue Cycle.
  • Collaborate with upper management to evaluate current as well as new program initiatives for effectiveness, feasibility, performance measurement and cost; ensure compliance with organizational and departmental policies and procedures, and regulatory standards.
  • Analyze data on all Revenue Cycle KPIs related to Patient Access, Patient Accounting, and Revenue Integrity.
  • Manage improvement initiatives related to opportunities identified from Revenue Cycle reporting.
Information Resources Management
  • Acts as the "super user" of Revenue Cycle reporting tools; provide key input and participation on any system upgrade or enhancement affecting these systems.
  • Utilize multiple IT systems to manage analysis, issue research and resolution, and process improvement implementation.
  • Routinely identify enhancements to reports and/or tools to support leading practice processes and facilitate continuing Revenue Cycle improvement; provide content expertise in the development, implementation, revision and management of data systems that support the Revenue Cycle.
  • Actively support initiatives related to Revenue Cycle and ensure organizational preparedness and compliance (such as Cerner Revenue Cycle implementation).
  • Serve as key resource for Revenue Cycle reporting vendors; manage tasks related to these vendors.
Budget and Financial Management
  • Work with Director of Revenue Cycle Analytics and Vice President of Revenue Cycle throughout the year and participate in the budgeting process to identify volume impacts, equipment needs, resource needs.
  • Implement actions to administer programs within budgetary guidelines.
  • Mitigate financial risks for the organization and departments with the organization associated with the processes and programs reporting to the Vice President.
Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification
  • Anticipate and responds to customer needs; follows up until needs are met
Teamwork/Communication
  • Demonstrate collaborative and respectful behavior
  • Partner with all team members to achieve goals
  • Receptive to others' ideas and opinions
Performance Improvement/Problem-solving
  • Contribute to a positive work environment
  • Demonstrate flexibility and willingness to change
  • Identify opportunities to improve clinical and administrative processes
  • Make appropriate decisions, using sound judgment
Cost Management/Financial Responsibility
  • Use resources efficiently
  • Search for less costly ways of doing things
Safety
  • Speak up when team members appear to exhibit unsafe behavior or performance
  • Continuously validate and verify information needed for decision making or documentation
  • Stop in the face of uncertainty and takes time to resolve the situation
  • Demonstrate accurate, clear and timely verbal and written communication
  • Actively promote safety for patients, families, visitors and co-workers
  • Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance