Revenue Cycle Improvement Analyst

12211 Plum Orchard Drive, Silver Spring, MD 20904

About the Role

The Revenue Cycle Improvement Analyst is responsible for identifying and managing process improvement initiatives that drive net revenue improvement. This role includes executive dashboard reporting, revenue cycle reporting, and other reporting to meet the financial needs of the organization. The analyst will lead recurring meetings with clinical and Revenue Cycle leadership to review analytics and provide updates on process improvement initiatives.

Responsibilities

• Create monthly analytics workbook for clinical departments and service lines focused on gross revenue, denials, cash, and coding-related metrics.
• Present analytics workbook to clinical department and service line leadership on a recurring basis.
• Identify revenue improvement opportunities through analysis of data and review of current processes.
• Manage implementation and completion of process improvements through partnering with appropriate clinical and revenue cycle teams, leading to measurable success.
• Manage ad hoc report requests received from other departments in the organization.
• Contribute to the strategic plan for Revenue Cycle services, including the rollout of monthly analytics workbooks to additional clinical departments and service lines.
• Utilize industry information (e.g., from HFMA, AAHAM) and peer resources to understand national and regional trends, innovations, successes, and benchmarks related to revenue cycle, specifically denials management.
• Provide strategic support of AR Strategy as it relates to reporting and identify focus areas for improvement.
• Responsible for overall Revenue Cycle Dashboard reporting on both a weekly and monthly basis, including data mining and report interpretation to ensure key themes are identified, addressed, and escalated appropriately.
• Collaborate with upper management to evaluate current and new program initiatives for effectiveness, feasibility, performance measurement, and cost; ensure compliance with organizational and departmental policies, procedures, and regulatory standards.
• Analyze data on all Revenue Cycle KPIs related to Patient Access, Patient Accounting, and Revenue Integrity.
• Manage improvement initiatives related to opportunities identified from Revenue Cycle reporting.
• Act as the “super user” of Revenue Cycle reporting tools; provide key input and participation on any system upgrade or enhancement affecting these systems.
• Utilize multiple IT systems to manage analysis, issue research and resolution, and process improvement implementation.
• Routinely identify enhancements to reports and/or tools to support leading practice processes and facilitate continuing Revenue Cycle improvement.
• Actively support initiatives related to Revenue Cycle and ensure organizational preparedness and compliance (such as Cerner Revenue Cycle implementation).
• Serve as a key resource for Revenue Cycle reporting vendors; manage tasks related to these vendors.
• Work with Director of Revenue Cycle Analytics and Vice President of Revenue Cycle throughout the year and participate in the budgeting process to identify volume impacts, equipment needs, and resource needs.
• Implement actions to administer programs within budgetary guidelines.
• Mitigate financial risks for the organization and departments associated with the processes and programs reporting to the Vice President.

Requirements

• Bachelor’s Degree (Required).
• 5 years of healthcare experience in finance, decision support, clinical operations, or related financial analysis background (Required).
• 5 years of Revenue Cycle Operations Experience (Preferred).
• 2 years of experience managing projects or process improvement initiatives (Preferred).
• 1 year of experience with hospital/physician information and Revenue Cycle information systems (Preferred).

Skills

• Proven analytical skills, including the ability to identify trends and areas for improvement and make recommendations based on financial analysis.
• Superior technical skills, including proficiency in the Microsoft Suite of applications (Word, Excel, PowerPoint, Access).
• Robust understanding of revenue cycle processes.
• Demonstrated ability to facilitate team or group activities and demonstrated leadership qualities, including professional verbal and written communication skills.
• Ability to project manage performance improvement initiatives related to improving processes and financial performance.
• Ability to deliver results on time, on budget, and to the highest standards.
• Ability to support the VP of Revenue Cycle, Finance, and the CFO with key reporting and trending relating to overall business intelligence, including denial management, vendor management, and Key Performance Indicator (KPI) dashboards.
• Ability to work efficiently under pressure and to tight deadlines.
• Demonstrated ability to be flexible, prioritize workload, and make decisions.
• Professional development through participation in continuing education and professional organizations.
• Ability to train clinical staff on new technologies and processes and to analyze workflow for process improvement.
• Ability to partner with external parties, including technology vendors.
• Experience in department budget, contract modeling, healthcare statistics, and interpersonal communication (Preferred).

Pay

The pay range for this position is $73,195.20 - $121,971.20. The exact pay rate will be based on a variety of factors including, but not limited to, the individual’s combination of prior work experience, level of education, knowledge, skills, and other qualifications, in alignment with Children’s National compensation philosophy.