Business Systems Analyst 3 - Revenue Integrity

University of Miami•Miami, FL

About The Position

The UHealth-University of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business Systems Analyst 3 - Central (H) collects detailed data and provides analysis to assist in the development of technology plans and strategies that enhance overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established operations, systems, methods, practices, and procedures to evaluate their effectiveness and ultimately makes recommendations for improvements. Additionally, the Business Systems Analyst 3 - Central (H) integrates people, equipment, facilities, and other resources to improve work results, operating efficiency, effectiveness, and productivity. This incumbent assists in the design, delivery, and improvement of in-house software applications, training programs, and related courseware. Department Specific Functions: Business Systems Analyst 3 - Revenue Integrity supports the financial health of the organization by ensuring accurate, compliant, and complete charge capture and billing processes. This role is responsible for analyzing clinical and financial data, identifying revenue leakage, and supporting system improvements that enhance revenue integrity across the healthcare enterprise. Working under the direction of the Director of Revenue Integrity Systems, the analyst collaborates with clinical departments, coding teams, IT, and compliance to monitor revenue cycle performance, resolve discrepancies, and implement best practices in charge capture and reimbursement. This position plays a pivotal role in ensuring revenue integrity through: trend reporting and claims analysis, development of payor scorecards, Charge Description Master (CDM) reviews, including impact analysis on all charge, revenue, and CPT code changes, and financial modeling to drive revenue improvement. Staying current with industry trends and emerging technologies is essential to support strategic goals.

Requirements

Bachelor’s degree in relevant field
Certification in Revenue Integrity required (e.g., CRCR, CHRI, CPC, CPMA).
Minimum 5 years of relevant experience, 3+ years of experience in revenue cycle management (billing, coding, or financial analysis) preferred
Understanding of healthcare billing, coding (CPT, ICD-10, HCPCS), charge capture, and reimbursement methodologies. preferred
Experience with major EHR and revenue cycle platforms (e.g., Epic, Cerner) preferred
Familiar with state-of-the-art, industry-specific technology and solutions
Analytical thinking and attention to detail
Demonstrated knowledge project management and change control
Proficiency with Microsoft Office Suite programs, Excel (pivot tables), Visio, Project, PowerPoint, Word.
Knowledge of operational healthcare, hospital and/or ambulatory and inpatient workflows and medical terminology.
Ability to communicate ideas and problem solutions
Ability to effectively work with people in other departments and/or outside of the enterprise.
Excellent interpersonal skills
Outstanding oral and written communication skills
Works well independently or as part of a team
Any appropriate combination of relevant education, experience and/or certifications may be considered.

Nice To Haves

Epic Resolute – Certification or Proficiency preferred

Responsibilities

Reviews, analyzes and triages application issues and cases.
Creates and maintains detailed support documentation of ongoing projects, tests internal application releases, and performs periodic system maintenance.
Provides training for internal users.
Monitors system availability, working closely with system administrators and business systems analysts.
Recommends changes in development, maintenance, and system standards.
Develops detailed action plan with goals and target dates and obtains necessary approvals.
Maintains ongoing communication and rapport with the management team regarding project activity.
Flowcharts existing processes versus improved flow.
Prepares time and cost estimates for projects and proposals.
Conducts research for best practice models and benchmarking.
Applies industrial and management engineering techniques, such as process designs, optimization models, forecasting methodologies, and chain management principles, to improve overall systems.
Analyzes existing flow of people, activities, and materials, employee work methods and utilization, policies and procedures, staffing levels, supervisory structure, space utilization, supply and demand optimization methods, forms, equipment, and computerized systems to design improved work systems.
Designs systems for production and inventory control in buying, storing, handling, and processing of materials and supplies.
Designs facilities, management systems, and standard operating procedures.
Develops management control systems to aid in financial planning and cost analysis.
Improves productivity through the application of technology and human factors.
Designs supply chain management standards across the university.
Conducts data collection to measure baseline versus improvement, before and after recommendations are implemented.
Creates formal presentations for projects and studies, including data collected, methodology used, results obtained, recommendations for improvement, and cost and savings involved.
Participates in continuing quality improvement activities.
Adheres to University and unit-level policies and procedures and safeguards University assets.
Review clinical documentation and charge data to ensure accurate and complete billing.
Identify trends in missed charges, denials, and underpayments.
Conduct root cause analysis and recommend corrective actions.
Assist in testing and validating revenue cycle system changes and upgrades.
Collaborate across IT and operational teams to improve charge capture workflows.
Support implementation of automation tools and reporting dashboards.
Provide education and feedback to clinical and operational teams on charge capture best practices.
Ensure adherence to payer guidelines, coding standards, and regulatory requirements.
Participate in internal audits and support external audit responses.
Maintain documentation of findings, recommendations, and resolutions.
Generate and analyze reports on revenue integrity KPIs.
Present findings to leadership and operational teams.
Support data-driven decision-making and performance improvement initiatives.