Revenue Cycle Analyst

Children's Hospital of Philadelphia•Philadelphia, PA

1d•$69,200 - $88,200•Onsite

About The Position

Under the supervision of the Director of PFS (Patient Financial Services), this position will manage the day-to-day data collection and analytic actions required to produce meaningful information to staff and management. This position requires a high degree of pro-active involvement and an analytical approach to appropriately maintain the integrity of sensitive, detailed information pertaining to patients, medical record keeping and financial transactions within CHOP financial systems and PFS related sub-systems, as they complete process oriented and departmental tasks. This position also serves as a source for various departments within patient financial services including Hospital and Physician and other departmental stakeholders for matters related to process improvement. They are responsible for the implementation and reporting of a robust quality review program for staff and service site-specific operations. This creates a routine of process breakdowns and results of productivity standards, with an understanding of why standards are not being met with correlated accountable action items for staff and management. The project management component of this position includes the management of department led committees and initiatives, creation of agendas, monitoring of progress and takeaways, as well as adherence to timelines.

Requirements

At least three (3) years work experience in a healthcare finance, accounting, billing, business role/environment Required
Must have proficiency in Excel (use of pivot tables, data connections, advanced formula use, presentation and graphics) (Required proficiency)
Must have excellent presentation skills and be very comfortable presenting findings and recommendations to multiple levels of staff & management (Required proficiency)
Must possess strong understanding of Patient Financial Services procedures and operations (Required proficiency)
Excellent communication skills and demonstrated organizational skills. (Required proficiency)
Strong interpersonal skills a must. (Required proficiency)
Must be organized, analytical, and detail-oriented. (Required proficiency)
Ability to work independently towards specific goals and objectives and provide recommendations for improvement. (Required proficiency)
Must be able to implement procedural changes; monitor ongoing progress. (Required proficiency)

Nice To Haves

Master's Degree Preferred
Certified Patient Financial Services Specialist - Hospital Business Institute - - Preferred
Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association - - Preferred

Responsibilities

Manage Data Analysis & Quality Assurance for PFS Departments, tasks include: Providing support for Hospital Billing & Collections, Professional Billing & Collections or Support Services, and the other areas in compiling reports in various formats
Assisting with operationalizing the KPI metrics activities needed for leadership to manage operations and report to various committees
Running and distributing metric reports which quantifies and compares the actual and expected
Pulling data from source systems, creating analytic summaries, ensuring the validity/accuracy of data presentations
Manipulating data & performing analysis through complex use of Microsoft Excel and other analytic tools
Utilizing EPIC reporting and Slicer Dicer to create standard reports that leaders can use regularly
Identifying payor trends and summarizing to management
Documenting findings and root cause(s)
Analyzing productivity/production standards.
Create various dashboards to assist with monitoring department performance
Supporting internal projects by initiating, leading, and resolving data investigations and communicating to internal and external personnel
Gathering relative documents from payor websites to stay assist department with staying current as needed
Documenting and dissemination of operational policies and procedures, and documenting workflows as needed
Assisting in compiling reports in various formats
System Issues Resolution and Process Improvement within CHOP financial systems and related PFS sub-systems, tasks include: Identifying, reporting and tracking all system related operational issues to minimize negative impact; implementing solutions and monitor long-term fix is operational.
Maintaining a leadership role in all CHOP financial systems and related PFS sub-systems installs and upgrades.
Providing/offering creative solutions to key challenges as identified from daily operations
Assisting Subject Matter Experts in making data driven recommendations
Project Management Tasks: support leaders in department led committees, meetings, projects by creating and maintaining agendas, keeping projects on task, managing takeaways, documentation and next steps
Daily KPI tracking - monitor daily numbers to show data trends and identify areas of opportunities
Adhere to and maintain required levels of productivity and quality performance KPIs
Maintain up-to-date coding knowledge by reviewing materials disseminated/recommended by the Physician Staff, Coding and CDI Leadership
Participate in Coding department meetings and educational events as assigned
Maintain a collegial working relationship with CDI and Coding and Client Success partners
Provide professional analytical services to optimize business performance
Provide documentation feedback to Coders and Clinical Documentation Improvement Specialists (CDIS) as needed
Perform analysis of chart completion and proactively identify opportunities, trends, and recommended enhancements
Assist in special projects and other roles and responsibilities as needed to support Accuity
Performs miscellaneous job-related duties as assigned