Senior Financial Analyst- Pediatrics

UIOWA•Iowa City, IA

1d•Remote

About The Position

Within the Stead Family Department of Pediatrics, this role assists with Operating Budget development, submission, and implementation. It oversees monthly accounting, workflow, reporting, variance analysis, and reconciliation processes. The position performs financial analysis and develops proformas for business and strategic initiatives. This position is eligible for remote work, but must be performed within the state of Iowa and comply with the remote work program and related policies.

Requirements

Bachelor’s degree in business administration/accounting/finance/management information system, or an equivalent combination of education and experience.
Knowledge of medical coding and revenue cycle processes (CPT/ICD codes, chargemaster, payer billing workflows).
Minimum of three years’ experience in finance and or an accounting related field.
Advanced Excel skills including Pivot tables, VLookup, Sumifs.
Demonstrated experience with database queries or computer programing.
Demonstrated excellent verbal and written communication and interpersonal skills.

Nice To Haves

Experience with medical coding and revenue cycle processes.
Experience with healthcare billing systems (HCIS, Epic, or similar).

Responsibilities

Assist with Operating Budget development, submission and implementation.
Oversee monthly accounting, workflow, reporting, variance analysis and reconciliation processes.
Perform financial analysis and develop proforma for business and strategic initiatives.
Create, validate, and disseminate incentive plan reports.
Track RVUs across providers.
Manage penalty tracking including Charge Lag, Documentation Deficiency, Bumped Clinic, Compliance, and DRG (CDI) Queries.
Respond to ad hoc report requests from providers and executive leadership.
Assist the Finance Manager with annual budget preparation and salary posting.
Complete mandatory reconciliations and report following pre-established processes.
Assess variance reports on revenue, expense, and other statistical measures.
Prepare highly specialized reports as requested.
Perform complex financial and statistical analysis utilizing expert knowledge of financial systems.
Utilize decision support/data warehouse systems to develop proforma and business analysis for programmatic and strategic initiatives.
Participate in monthly cross ‑ department meetings and act as a liaison for denials, appeals, payer relations, and coding inquiries.
Address unresolved patient billing questions and manage patient follow ‑ up communications.
Manage CARTS ad hoc requests and oversee Pre ‑ Service CARTS workflows.
Provide coding support to providers, including guidance on new services, workflow questions, and chargemaster inquiries.
Act as the HCIS build contact for new services, ensuring accurate charge capture and system configuration.
Maintain and update the Formula Orders Spreadsheet, including pricing and documentation accuracy.
Serve as the primary contact for PCD/PFS questions related to metabolic formula processes and Charity Care considerations.
Manage new bill area setup, provider/APP bill area requests, and Allowed Services reviews.
Coordinate bill area mapping for revenue across divisions.
Serve as the liaison for Provider Credentialing with CSO, PCD, and HR, validating new provider taxonomy and Medicare assignments.
Advise and guide divisions within department on compliance requirements related to billing, coding, and revenue cycle processes, ensuring adherence to organizational policies, regulatory standards, and applicable laws.
Deliver best ‑ practice training to staff and support ongoing education related to revenue cycle processes.
Recommend and assist in developing training solutions that improve the accuracy, efficiency, and effectiveness of financial transactions, billing practices, and coding processes.
Advise departmental leadership on appropriate financial controls and compliance requirements related to billing, coding, and revenue cycle operations.
May provide functional and or administrative supervision (direction, assignments, feedback, coaching and counseling) to assure outcomes are achieved.
Assist in coordination/preparation of analysis for strategic plans in support of DEO/ administrator.