Revenue Integrity Analyst at UnityPoint Health

Des Moines, Iowa, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Jan, 26

Salary

0.0

Posted On

21 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle, Data Analysis, Process Improvement, Reporting, Collaboration, Communication, Medical Billing, Coding, Denials Management, Epic, Microsoft Office, Decision Making, Regulations, Charge Issues, Performance Monitoring, Training

Industry

Description

Overview The Revenue Cycle Integrity Analyst is a key member of the Revenue Cycle Team reporting directly to the Director of Ambulatory Revenue Cycle Integrity. This position is responsible for identifying trends, collaboratively working with leadership to produce in-depth reporting that will help improve the revenue cycle performance within the Ambulatory Clinics of UnityPoint Health (this includes clinics operated by UnityPoint Clinic and UnityPoint Health Hospitals). This Analyst will be responsible for creating dashboards, managing and monitoring all aspects of the clinic related revenue stream. This role will have ongoing interaction with clinic leadership, clinic revenue cycle staff, coding staff, billing staff, and IT teams. This individual will focus on implementing and supporting continuous improvement in key revenue cycle functions including Registration, Coding, and Billing. The Analyst will maintain a good working relationship with all clinics to ensure clear communication and a collaborative approach to implementing best practice processes. Hours: Monday-Friday, standard business hours Location: Remote - applicants preferably reside in the UPH geographies of Iowa, Illinois or Wisconsin Why UnityPoint Health? At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few: Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health. Responsibilities Revenue Cycle Improvement Analyzes data to identify opportunities for process improvement. Applies analytic principles and is able to organize, interpret and communicate data related to revenue integrity Develop and produce reporting that will create accountability and drive change Develops and complete critical Revenue Cycle projects by collaborating with key stakeholders across UnityPoint Health Collects, monitors and analyzes data, and provides recommendations to clinic leadership to drive better performance throughout the revenue cycle Responsible for decision making to improve and impact charge issues, complex claims processing workflows and regulations Provides expert consultation to leadership as the subject matter expert for revenue cycle data Interprets existing revenue cycle policies and operating practices to make recommendations for improvements Responsible for maintaining in-depth understanding of the entire revenue cycle Responsible for troubleshooting registration, coding, and correct coding initiative (CCI) edits Research and resolve charge review, claim edit, and denial in assigned work ques(WQ) Liaison for the billing office team members. Answering questions and troubleshoot accounts as needed Maintain understanding of new rules and regulations related to billing Research new service line rules and regulations Responsible for self-monitoring of WQs and identifying potential charging issues Performance Monitoring/Revenue Integrity Responsible for applying knowledge of revenue cycle principles to ensure accurate and compliant billing Assists with collection, monitoring and analyzing data, and gives feedback to management for recommendations to leadership to drive better performance throughout the revenue cycle Identifies different types of data that require tracking to improve revenue cycle performance Develops easy-to-interpret reporting based on collected data and develops operating procedures in collaboration with clinic leadership to ensure continued monitoring Provides guidance and education to Revenue Integrity Specialist related to performancemonitoring and revenue integrity functions Work with clinic leadership to prioritize suggested changes Provides training as needed to improve operations Monitor revenue cycle Key Performance Indicators and identify areas of opportunity for improvement and efficiency Drive change through data and collaboration with clinic leadership and staff Denials Management Work with clinic leadership and staff to identify and remediate denials through rules and EMR build Produce reports that track performance and are easy-to-interpret Develop an understanding of complex rules and regulations governing insurance, appeal activities, trends, etc. and make recommendations on system build to accommodate changes in these areas Develop an understanding of the entire revenue cycle and the factors that lead to denials and revenue loss Serves as the subject matter expert for leadership, peers and team members for denials management Qualifications High school diploma/GED required - Bachelor’s degree in Healthcare Administration, Business, Mathematics or Computer Science preferred 4 years of progressive experience in revenue cycle/medical billing Strong skills including professionalism, interpersonal skills, ability to communicate effectively through written and verbal methods, process improvement skills Fluent with Epic and Microsoft office programs Ability to manipulate large amounts of data Demonstrated decision making as it relates to processing, reconciling, and ensuring the accuracy of revenue and charge activity Knowledge of entire revenue cycle process Knowledge of medical terminology and coding

Responsibilities

The Revenue Integrity Analyst is responsible for identifying trends and producing in-depth reporting to improve revenue cycle performance within Ambulatory Clinics. This role involves ongoing interaction with clinic leadership and staff to implement best practice processes.