REVENUE CYCLE ANALYST SR

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REVENUE CYCLE ANALYST SR (SV INFIRMARY), ADMINISTRATION-MEDICAL GROUP, FULL TIME, DAYS','Full-time','Finance','DAYS','DAYS','80','80','Occasional','Occasional','ARKANSAS-LITTLE ROCK-ST VINCENT INFIRMARY','','!*! 
JOB SUMMARY 
This job is responsible for developing in-depth and complex financial analyses in support of the Franciscan Medical Group (FMG) Revenue Cycle function and for the development/maintenance of advanced ad hoc reports/databases consistent with industry standards, internal policies/procedures and general requirements.  Reports are produced for Revenue Cycle functions such claims submission, insurance follow-up, cash management, credits/refunds, charge/payment posting, coding and clinic customer service.  An incumbent interprets/analyzes report content and develops presentations for key stakeholders, including providers, clinic management and organizational leadership.  Strong communication, analytical and critical thinking skills are required for timely report generation/distribution through use of computer-based applications and data. 
Work also includes:  1) developing/maintaining KPI (Key Performance Indicator) dashboards, reimbursement and payer mix analyses and clinic/business operational reports; 2) interpreting/explaining report findings to clinic management/organizational leadership and recommending process improvements; 3) overseeing Chargemaster maintenance; 4) serving as principle liaison between business operations leaders and Information Technology (IT), facilitating technology/tools enhancements and system maintenance/modification; and 5) providing training/guidance to  other Revenue Cycle staff with regard to reporting, analytics and related tools. 
Work requires considerable knowledge of the standards, practices, and requirements relating to insurance payers/plans, insurance reimbursement and payer mix, as well as financial analysis/modeling.  Knowledge of relational database management, HTML, SharePoint and SQL programming, and considerable expertise with the Microsoft Office Suite (Excel, Outlook, PowerPoint, Access and Visio) and electronic medical record systems is also required. 
ESSENTIAL JOB FUNCTIONS:  The following section contains representative examples of job duties that might be performed in positions allocated to this job class.  CHI Franciscan Health is a dynamic organization, and the environment can be fluid.  Roles and responsibilities may be altered to accommodate changing business conditions and objectives as well as to tap into the skills and experience of its employees.  Accordingly, employees may be asked to perform duties that are outside the specific work that is listed.  It is not required that any position perform all duties listed, so long as primary responsibilities are consistent with the work as described.  Performance standards developed for incumbents allocated to this job class may also contain relevant job content information and are referenced hereto.
Designs, develops and tests reports and desktop databases to facilitate efficient and flexible data extraction and management; develops and maintains timely and accurate documentation related to development, reporting and analytical activities. 


Retrieves and manipulates data from the health information system(s), including design, customization, and report and dashboard generation for stakeholders.

Develops authorized procedures and seeks assistance when guidelines are inadequate, significant deviations are proposed, or when unanticipated problems arise.

Provides management with weekly, monthly, quarterly, and annual updates/summaries of key performance indicators for identified departments.

Monitors ad hoc reporting requests and responds to/fulfill requests within pre-determined service timeframes.

Analyzes department/team activities and trends and compares findings against the service standards and industry best practices.

Prepares and effectively leads presentations with key stakeholders and organizational leaders as relates to compiled analyses and reports.

Gathers information for various financial projects, including payer contract negotiations, payment variance analysis, and reimbursement analysis; runs ad hoc reports as needed; performs in-depth analysis; summarize results and recommendations.

Ensures that relevant changes are fully understood and that current data/reports are updated to ensure timely and accurate information is accessible and produced. 

Identifies, researches and resolves (within position scope) unusual, complex or escalated issues through critical thinking and problem solving skills; notifies Supervisor/Manager/Director of ongoing issues and concerns.
Independently analyzes/interprets/explains complex report content/findings and makes recommendations for revenue cycle process improvements; provides updates to clinic leadership on reimbursement changes, payer mix and realization dates.

Independently performs complex research, compiles financial analyses, and develops detailed spreadsheets and presentations; prepares in-depth analyses focused on accuracy, reliability, and timeliness; provides/presents interpretation of findings to senior leaders, colleagues, clinic managers, and/or physicians.

Develops analyses and reports to support key initiatives, including identification and recommendation of improvements to existing processes, with timely follow-through as appropriate. 

Monitors weekly performance metrics and completes root cause analyses to identify metric improvement opportunities related to regional revenue cycle activities.

Identifies and makes recommendations to improve existing processes and follow through as appropriate.

Applies a test of reasonableness to question results of each analysis before the task/analysis is complete.

Documents processes as well as source information and calculations used in financial analyses.
Provides oversight of the FMG Chargemaster and system procedure code table in accordance with established procedures.

Develops and maintains processes and spreadsheets for annual pricing analytics, including the creation of detailed impact analyses, coordinating/importing payer reimbursement schedules into SQL/Excel, and developing annual price change recommendation proposals for Leadership evaluation.

Oversees the development of the Chargemaster spreadsheet for fee schedule additions and maintenance requests.

Audits fee schedule additions and system changes coordinated by the Revenue Cycle Analyst; provides additional education/training as needed.
Leads liaison activities between business operations leaders and Information Technology (IT) department to promote a partnership that develops/enhances systems, tools, technology and processes. 

Serves as primary liaison with CHI IT to assist FMG with implementing new tools, technology, reporting solutions, and analytics:


Participates in the design, build, and validation of system tables and processes

Proposes system set up for consideration by CHI

Trains staff on system functionality

Develops reference guides for new tools, technology, process and report maintenance/use.

Monitors integrity of system department/facility/provider and workqueue edit changes for Revenue Cycle. 

Provides technical expertise required to maintain and enhance internal SharePoint and Intranet sites; coordinates with IT as needed.

Communicates technical changes/suggestions to operational leaders.
Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function; maintains confidentiality of medical records and related data.


Has knowledge of, and is compliant with, government regulations including signature on file requirements,   compliance program, HIPAA, etc.
Establishes and maintains professional and effective relationships with peers and other stakeholders; assists in training/coaching Revenue Cycle Analyst in reporting/analytical activities. 

Works collaboratively with Revenue Cycle team members and other stakeholders to meet expectations and deliverable timelines. 

Establishes and maintains a professional relationship with clinics and FMG staff in order to resolve issues.

Promotes an atmosphere of collaboration so Revenue Cycle team members feel comfortable approaching with issues and challenges.

Depending on role and Epic training, may be called upon to support other areas in the Revenue Cycle.
Performs related duties as required.','!*! 
MINIMUM JOB QUALIFICATIONS:  The following section contains representative examples of competencies and job qualifications directly related to successful performance in the position.  The categories are broad, reflecting minimum requirements.  It is not intended to be an exhaustive list of all possible requirements nor does it include general competencies, expectations and/or skills that are universally applicable to the work, but are not critical for recruitment purposes or to overall job performance. 
Education/Work Experience Requirements
Bachelor’s degree in business administration, finance, accounting or related healthcare field, and five years of related work experience that demonstrates attainment of the requisite job knowledge/abilities. 
Or any equivalent combination of education and experience which provides the required knowledge, skills and abilities to perform the essential functions of the position.
Graduate degree in finance, accounting or related field is preferred.
Job Knowledge/Abilities:

Knowledge of general concepts and practices that relate to the healthcare field, and specific policies, standards, procedures and practices that pertain to the assigned function.
Knowledge of the basic standards, practices and methodologies relating to insurance payers/plans, insurance reimbursement and payer mix. 
Knowledge of commonly used concepts, practices and procedures within the healthcare industry. 
Knowledge of general office principles, practices, standards, systems and tools/equipment.
Knowledge of the regulatory/reporting requirements that pertain to the assigned function.
Knowledge of sources and availability of information relevant to the assigned function.
Knowledge of the operation and application of automated systems applicable to the assigned function.
Knowledge of concepts, methodologies and tools relating to financial analysis, and the development of mathematical/statistical models that produce the desired result. 
Working knowledge of relational database management, HTML and SQL programming.
Ability to assemble, evaluate and understand large/complex information and studies, and to identify current/future trends from both internal and external databases.
Ability to use statistical, economic and financial principles and techniques to prepare reports.
Ability to accurately and thoroughly document processes as well as source information and calculations used in financial analyses.
Ability to keep abreast of trends, developments and changing regulatory requirements that impact matters within designated scope of responsibility.
Ability to understand and apply basic financial analysis methodologies and to develop valid mathematical/statistical models that achieve/produce the desired result.
Ability to maintain confidentiality of medical records, and to use discretion with confidential data and sensitive information.
Ability to communicate complex/technical information regarding financial and information systems with Physicians, Clinicians, Clinic Management, Directors, Managers, and Staff.
Ability to demonstrate attention to detail and critical thinking skills within the context of the position scope, with a commitment to accuracy.
Ability to effectively prioritize and execute tasks while under pressure.
Ability to provide effective training/guidance to other Revenue Cycle staff within position scope.
Ability to demonstrate strong analytic, critical thinking, investigative and interpretive skills and make decisions based on available information and within the scope of position authority.
Ability to establish and maintain effective working relationships as required by the duties of the position, including physicians, clinicians, clinic staff, patients and Revenue Cycle team colleagues.
Ability to use office equipment and automated systems/applications/software (including Microsoft Excel and Access) at an acceptable level of proficiency.','We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.','2017-R0135393','CHI St. Vincent','REVENUE CYCLE ANALYST SR (SV INFIRMARY), ADMINISTRATION-MEDICAL GROUP, FULL TIME, DAYS

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