Revenue Integrity and Performance Analyst

UIOWA•Iowa City, IA

2d•Hybrid

About The Position

The UI Stead Family Department of Pediatrics is seeking a full-time Revenue Integrity and Performance Analyst. This position serves as a key operational leader, providing strategic and operational collaboration and oversight for clinical systems, revenue optimization, coding compliance, data analytics, and records management. The analyst serves as the departmental subject matter expert for EPIC workflows, provider EPIC and coding onboarding and training, coding and billing operations, and performance reporting. Working with departmental and institutional stakeholders, the position supports efficient clinical operations, accurate revenue capture, data-driven decision-making, and regulatory compliance. The role identifies and implements operational improvements, develops key performance metrics, and enhances departmental financial and operational performance. The position serves as the primary departmental resource for coding, billing, documentation, and charge capture questions; analyzes coding and billing trends; monitors provider coding patterns, documentation quality, and reimbursement performance; supports coding education and provider feedback; evaluates denials, claim edits, payer trends, and reimbursement issues; and assists leadership with productivity measures such as wRVUs, charges, collections, and reimbursement metrics. As the department's primary administrative lead and liaison for EPIC-related activities, the analyst coordinates provider onboarding, training, access, template configuration, and workflow optimization. The role collaborates with Information Systems, Clinical Informatics, and operational stakeholders; troubleshoots EPIC issues; develops training and operational documentation; assists providers with in-basket review and clean-up; tracks UI Physicians deficiency letters and incentive-plan penalty reporting; and works with providers to improve delinquency ratios. The analyst develops, maintains, and analyzes departmental operational and financial dashboards using Power BI and other reporting tools; generates routine and ad hoc reports; tracks performance indicators; identifies trends and opportunities through analysis and benchmarking; and presents findings and recommendations to leadership and committees. The position also oversees the department's Records Management team in collaboration with the Records Management Supervisor, ensuring effective medical-record request and documentation workflows, regulatory compliance, service levels, and process improvement. The role advises departmental leadership on operational, revenue cycle, and analytics initiatives; leads or participates in projects involving clinical operations, technology optimization, performance improvement, and revenue enhancement; collaborates with institutional stakeholders on strategic priorities; and supports change management for new systems, workflows, and organizational initiatives. This position is eligible for a combination of on-campus work at UI Health Care and remote work. Remote work must be performed at an offsite location within Iowa. Work arrangement options will be discussed during hiring and reviewed annually under applicable policies. The position is not eligible for university employment-authorization sponsorship.

Requirements

Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, Public Health, Finance, Analytics, or a related field.
At least 3 years of progressively responsible experience in healthcare operations, revenue cycle management, coding, analytics, or clinical administration.
Experience working in an academic medical center, physician practice, hospital, or healthcare organization.
Experience supporting EPIC workflows and provider operations.
Experience creating reports and dashboards using business intelligence tools.

Nice To Haves

Master's degree in Healthcare Administration (MHA), Business Administration (MBA), Public Health (MPH), Health Informatics, or a related field.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or similar certification.
EPIC certification, credentialing, or significant EPIC operational experience.
Lean, Six Sigma, or process improvement experience.

Responsibilities

Serve as the primary departmental resource for coding, billing, documentation, and charge capture inquiries.
Analyze coding and billing trends to identify revenue enhancement opportunities and operational inefficiencies.
Partner with central coding, billing, compliance, finance, and revenue cycle teams to support accurate and compliant coding.
Monitor provider coding patterns, documentation quality, and reimbursement performance.
Support coding education initiatives and provider feedback programs.
Evaluate denials, claim edits, payer trends, and reimbursement issues and identify corrective actions.
Recommend improvements to clinical documentation and revenue capture.
Assist leadership in monitoring productivity measures, including wRVUs, charges, collections, and reimbursement metrics.
Lead departmental administrative activities and liaison work related to EPIC.
Coordinate provider EPIC onboarding, training, access requests, template configuration, and workflow optimization.
Ensure providers and staff enroll in required EPIC training and comply with organizational requirements.
Collaborate with Information Systems, Clinical Informatics, and operational stakeholders to implement EPIC functionality and workflow enhancements.
Troubleshoot EPIC issues and coordinate resolution with institutional teams.
Develop and maintain departmental training resources and operational guidance documentation.
Assist providers with in-basket review and clean-up.
Track UI Physicians deficiency letters and incentive-plan penalty reporting; work with providers to improve delinquency ratios as needed.
Develop, maintain, and analyze departmental operational and financial dashboards using Power BI and other reporting tools.
Generate routine and ad hoc reports for departmental leadership decision-making.
Track and report indicators including revenue and collections, wRVUs, patient volumes, clinic utilization, patient satisfaction, access and scheduling, inpatient volumes, average daily census, and faculty and provider productivity.
Identify trends, risks, and opportunities through analysis and benchmarking; present findings and recommendations to leadership and committee groups.
Oversee the department's Records Management team in collaboration with the Records Management Supervisor.
Ensure effective medical records request and documentation workflows and regulatory compliance.
Evaluate workflows and implement process improvements to enhance efficiency, service delivery, and customer satisfaction.
Develop and monitor service-level expectations and operational performance measures.
Partner with the Records Management Supervisor to develop best practices and standard operating procedures.
Advise departmental leadership on operational, revenue cycle, and analytics initiatives.
Lead or participate in projects involving clinical operations, technology optimization, performance improvement, and revenue enhancement.
Collaborate with institutional stakeholders to advance departmental goals and strategic priorities.
Support change management related to new systems, workflows, and organizational initiatives.