Revenue Integrity Analyst

Navajo Preference Employment Act :
In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to this Plan and corresponding TCRHCC Policy, applicants who meet the necessary qualifications for this position and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will be given preference in hiring and employment for this position, (2) are legally married to enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe and meet residency requirements will be given secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will be given tertiary preference.

Overview:

POSITION SUMMARY

The Revenue Integrity Analyst will provide support to both the Director of Revenue Cycle and Director Revenue and Reimbursement by analyzing data to maximize revenue and identify revenue control risks. Incumbent must demonstrate ability to design and interpret complex financial analysis in support of the strategic initiatives of Tuba City Regional Health Care Corporation. Essential to this position is having knowledge/experience of ROI (Return on Investment) and performing calculations/analysis. Incumbent must be able to pinpoint operational and financial challenges and drive results. Incumbent reports to the Director of Revenue and Reimbursement.

NECESSARY QUALIFICATIONS

Education:

Bachelors degree in Business Administration, Allied Health, Healthcare Administration, Engineering, Mathematics and statistics or related field.

Experience:

• Minimum of six (6) months in a tribal or non-profit healthcare setting
• Experience using business data analytics tool such as Power BI, Tableau, etc.
• Experience in Financial quantitative aptitude and analytical experience with demonstrated ability to present financial results in an understandable manner of non-financial audience
• Thorough knowledge of hospital revenue cycle and/or finance

Other Skills and Abilities:

A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:

• Develops positive relationships with hospital management, the medical staff, and other hospital staff
• Understand political issues in the community and the organization where previously employed
• Demonstrates sound technical skills and analytical ability
• An Ability to read, analyze and interpret the most complex documents and respond effectively to the most sensitive inquiries or complaints
• Possess excellent communication skills and demonstrate skill in sharing information with department staff, other department heads, senior leadership and governing bodies in an appropriate and timely manner
• Intermediate Excel skills required
• Completion of an above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
• Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
• Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
• Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading or incomplete information, as determined by TCRHCC.

MENTAL AND PHYSICAL EFFORT

The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical:

Work is mostly sedentary with prolonged sitting, frequent reaching and occasional standing, walking, driving, bending, climbing, kneeling, crouching, and twisting while interviewing patients and preparing the appropriate paperwork for treatment of a patient or initiating a chart. Incumbent must be able to occasionally lift and pull over 100 lbs. Sensory requirements for this position include prolonged near vision, color vision, depth perception, seeing fine details, hearing normal speech and using the telephone as well as occasional far vision and hearing overhead pages.

Mental:

Incumbent handles problems and deviations in accordance with established instructions, priorities, policies, commitments and program goals of the supervisor, and accepted practices. Completed work is evaluated for appropriateness, soundness and conformance to procedures and requirements. Must be able to cope with high levels of stress, make decisions under high pressure, cope with anger, fear, hostility of others in a calm way, concentrate, handle high degree of flexibility, handle multiple priorities in stress situation, demonstrate high degree of patience, frequently work alone and occasionally manage altercations, adapt to shift work, and work in areas that are close and crowded.

Environmental:

May have occasional exposure to infectious disease, chemical agents, dust, fumes, gases, extremes in temperature or humidity, hazardous or moving equipment, unprotected heights, and loud noises.

ESSENTIAL FUNCTIONS

1. Perform a multitude of financial analysis and examination of financial aspects of hospital operations.
2. Works with management and staff of various departments to assist with data gathering and/or interpretation. Ensures accuracy of information systems and maintenance of reporting.
3. Ensures the integrity of statistical files and databases used for financial and other business reporting purposes.
4. Plays an important role in improving revenue results by taking a global view of clinical to financial processes, functions, and interdependencies from patient care to final bill.
5. Performs specialized audits of revenue cycle processes.
6. Provide decision making tools and analysis for TCRHCC to establish routine reporting, variance analysis, profitability analysis, and sensitivity analysis to help drive insightful decision-making.
7. Create and sustain ongoing forums that encourage two-way communication opportunities to partner with other departments to ensure revenue integrity and maximization of revenue.
8. Conduct thorough research and analysis of variances data accuracy.
9. Provide periodic training to hospital management on the use of interpretation of financial reports.
10. Participate in various finance improvement projects and actively contribute to realizing process improvements.
11. Provide assistant in preparing journal entries and reconciling general ledger and subsidiary accounts.
12. Analyze various accounts within the GL system to ensure that financial transactions have been posted correctly and that month-end and year-end balances fairly represent the financial status.
13. Bring to the notice of the management issues which affect cash flow, expense and financial balances or conditions.
14. Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
15. Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
16. Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction.
17. Other duties as assigned.