Revenue Analyst jobs in Idaho

Revenue Cycle Data Analyst

Job Code: 29129

Position Summary

Responsible for optimizing revenue cycle systems and workflow processes of the department. Analyzes denials and edits to implement system changes in the appropriate departments to prevent denials. Supports Revenue Cycle, Finance, Administration, and other leadership throughout the health system by providing accurate, timely, and objective analysis in all projects assigned related to ongoing and special financial and workflow analysis. Provides advanced analytical support through extensive internal contact with members of IT, Financial Services, Contracting and Reimbursement and all levels of leadership throughout the organization.

Responsibilities

Maintains understanding of the organization's performance expectations and tracks key performance indicators for all revenue cycle departments

Provides guidance for best practice implementation, using methodologies and other process improvement tools to identify breakthrough strategies across institutional and functional boundaries that result in significant and documented improvement in healthcare and service delivery

Serves as a liaison between IT, leadership and operational users to ensure the optimum use of the software and workflows, providing support for initiatives throughout the health system

Develops and implements tools to enable the cash realization goals set for the revenue cycle

Extracts data reports on a regular basis to monitor performance for all revenue cycle departments

Collaborates with revenue cycle team and vendors to prepare performance metrics and analysis, identify performance improvement opportunities, and support the implementation of solutions to enhance performance

Works with operational users to define and articulate needs, communicates the requirements to IT department via ticketing system

Performs complex research and financial projects analysis; distributes findings throughout the organization, including executives, directors, managers, and frontline staff as applicable

Works with internal and external resources and support the ongoing operation of internal and vendor applications and tools

Meets with revenue cycle leaders on an ongoing basis to ensure reports are helpful, accurate, and adjusts accordingly

Applies critical analysis to interpret data and uses that analysis to propose potential solutions to identified trends

Reviews billing workflows and works with the appropriate teams to adjust system to catch errors and or omissions

Reviews reports to pinpoint root causes for claim edits and denials across all departments and works with leaders to implement resolution

Assists in the development and preparation of presentations for Administration and other leadership and ensures the accuracy of their contents

Manages claims software; balances daily transmissions, analyzes claims reports, etc.

Performs ongoing training and support of revenue cycle division workflows and workflow development

Performs duties in compliance with state and federal regulatory requirements, and Kootenai Health policies and procedures governing revenue cycle compliant processes

Performs other related duties as assigned

Familiar with standard concepts, practices, and procedures within the field

Regular and predictable attendance is an essential job function

Competent to meet age specific needs of the unit assigned

Requirements and Minimum Qualifications

Bachelor's degree preferred

Minimum 5 years' experience in revenue cycle or analyst role required

Advanced understanding of the standard tools, workflow processes, and/or procedures and concepts used in the development and deployment of application software necessary to run the healthcare systems business, clinical or financial systems

Excellent communication, organizational and analytical skills required

Proven experience working with regulatory requirements for all payer types

Strong interpersonal skills and proven ability to function in a confidential and highly responsible manner

Excellent computer skills, including experience with EHR systems

Working Conditions

Must be able to maintain a sitting position

Typical equipment used in an office job

Repetitive movements

Must be able to lift and move up to 10lbs

Apply today! Please reach out to Lindsay Buchanan at lbuchanan@kh.org