Revenue Cycle Analyst

What You Will Do

• Manage Data Analysis & Quality Assurance for PFS Departments
• Support Hospital Billing & Collections, Professional Billing & Collections or Support Services
• Assist with operationalizing KPI metrics activities
• Pull data from source systems, create analytic summaries, ensure data validity/accuracy
• Manipulate data & perform analysis using Microsoft Excel and other analytic tools
• Create standard reports using EPIC reporting and Slicer Dicer
• Identify payor trends and summarize to management
• Document findings and root cause(s)
• Analyze productivity/production standards
• Create various dashboards to assist with monitoring department performance
• Support internal projects by initiating, leading, and resolving data investigations
• Gather relative documents from payor websites to stay current
• Document and disseminate operational policies and procedures, document workflows as needed
• Resolve system issues and process improvements within CHOP financial systems and related PFS sub-systems
• Support leaders in department led committees, meetings, projects
• Maintain up-to-date coding knowledge by reviewing materials
• Participate in Coding department meetings and educational events
• Provide professional analytical services to optimize business performance
• Perform analysis of chart completion and identify opportunities, trends, and recommended enhancements
• Aid in special projects and other roles as needed

Education Qualifications

• Bachelor's Degree Required
• Master's Degree Preferred

Experience Qualifications

• At least three (3) years work experience in a healthcare finance, accounting, billing, business role/environment

Skills and Abilities

• Proficiency in Excel (pivot tables, data connections, advanced formula use, presentation and graphics)
• Excellent presentation skills
• Strong understanding of Patient Financial Services procedures and operations
• Organizational skills
• Interpersonal skills
• Detail-oriented
• Ability to work independently and provide recommendations for improvement
• Ability to implement procedural changes and monitor progress

Licenses and Certifications

• Preferred: Certified Patient Financial Services Specialist - Hospital Business Institute
• Preferred: Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association