Revenue Integrity and Performance Analyst

University of Iowa•Iowa City, IA

3d•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 within the department, providing strategic and operational collaboration and oversight for clinical systems, revenue optimization, coding compliance, data analytics, and records management. The role is 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 leadership, physicians, advanced practice providers, hospital operational teams, central revenue cycle departments, health information management, information technology, and analytics teams, the analyst supports efficient clinical operations, accurate revenue capture, data-driven decision-making, and regulatory compliance. The position identifies and implements operational improvements, develops performance metrics, and enhances departmental financial and operational performance. The role also provides direct oversight of the department's Records Management team in collaboration with the Records Management Supervisor, and serves as an advisor to departmental leadership on operational, revenue cycle, and analytics initiatives. The position is eligible for a combination of on-campus work at UI Health Care and remote work performed at an offsite location within Iowa. Work arrangements are reviewed annually and discussed during the hiring process. The Stead Family Department of Pediatrics provides clinical care, conducts research, and educates pediatric health care providers. It comprises the medical and research staff of UI Stead Family Children’s Hospital, a comprehensive children's hospital and pediatric care and research institution.

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 practices.
Monitor provider coding patterns, documentation quality, and reimbursement performance; support coding education 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 with monitoring wRVUs, charges, collections, and reimbursement metrics.
Serve as the department's primary administrative lead and liaison for EPIC-related activities.
Coordinate provider EPIC onboarding, training, access requests, template configuration, and workflow optimization; ensure providers and staff are enrolled in required EPIC training and meet 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, and 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; track and report revenue and collections, wRVUs, patient volumes, clinic utilization, patient satisfaction, access and scheduling indicators, inpatient volumes, average daily census, and faculty and provider productivity.
Identify trends, risks, and opportunities through data analysis and benchmarking, and present findings and recommendations to leadership and committee groups.
Provide direct oversight of the department's Records Management team in collaboration with the Records Management Supervisor.
Ensure efficient management of medical records requests, documentation workflows, and regulatory compliance activities.
Evaluate workflows and implement process improvements to increase efficiency, service delivery, and customer satisfaction.
Develop and monitor service-level expectations and operational performance measures; partner with the Records Management Supervisor on best practices and standard operating procedures.
Advise departmental leadership on operational, revenue cycle, and analytics initiatives.
Lead or participate in projects concerning clinical operations, technology optimization, performance improvement, and revenue enhancement.
Collaborate with institutional stakeholders to advance departmental goals and strategic priorities, and support change management for new systems, workflows, and organizational initiatives.