Ambulatory Revenue Cycle Analyst - Des Moines Region

Unitypoint Health Johnston , IA 50131

Posted 1 week ago

Overview

This position will office in and support the Des Moines region.

Travel within the region to Clinic locations required.

The Ambulatory 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.

Responsibilities

Revenue Cycle Improvement

  • Analyzes data to identify opportunities for process improvement. Develop and produce reporting that will create accountability and drive change.

  • Develops and completes critical Revenue Cycle projects by collaborating with key stakeholders across UnityPoint Health. These projects affect business operations to a substantial degree.

  • Collects, monitors and analyzes data, and provides recommendations to clinic leadership to drive better performance throughout the revenue cycle.

  • 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.

Performance Monitoring/Revenue Integrity

  • 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.

  • Work with clinic leadership to prioritize suggested changes.

  • Provides training as needed to improve operations.

  • Monitor revenue cycle KPIs and identify areas for 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.

Qualifications

Education:

  • Bachelor's degree in Healthcare Administration, Business, Mathematics or Computer Science required.

Experience:

  • 2 years' experience in healthcare analytics.

Certifications:

  • FMA, MGMA or AHIMA certification desirable but not required.

Skills:

  • 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.

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Ambulatory Revenue Cycle Analyst - Des Moines Region

Unitypoint Health