Revenue Cycle Business Analyst

Do you want to work at one of the Top 100 Hospitals in the nation We are guided by our values ofLoveandExcellenceand are passionate about delivering health not just health care. Come join us at ChristianaCare!

ChristianaCare with Hospitals in Wilmington and Newark DE as well as Elkton MD is one of the largest health care providers in the MidAtlantic Region. Named one of Americas Best Hospitals by U.S. News & World Report we have an excess of 1100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital Wilmington Hospital our Ambulatory Services and HomeHealth have all received ANCC Magnet Recognition.

HYBRID OPPORTUNITY. CANDIDATES NEED TO BE LOCAL TO BE ONSITE AS NEEDED.

PRIMARY FUNCTION:

Under the direction of the Corporate Director Revenue Cycle this position utilizes numerous applications to produce actionable Revenue Cyclewide KPI and related reporting intended to provide insights into the financial performance of CCHS enterprise. Identifies and reports key metrics that affect revenue recognition cash flow regulatory compliance payer performance staff performance as well as vendor information and helps to develop recommendations for automation workflow changes and/or system updates. This individual must be a selfstarter can work with various levels of staff and management as well as the ability to cultivate great working relationships throughout the enterprise.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Supports the Revenue Cycle Team by building routine and adhoc reports and analysis of data pertinent to identifying gaps in process that negatively impact revenue and reimbursement.

• Data Visualization development of data visualization and brings expert knowledge of data visualization tools and techniques to drive analytics. Works with data engineers to optimally design and implement semantic data consumption within data visualization environments. Evaluates large amounts of healthcare data to find significant patterns trends and relationships.

• Reporting collaborates with stakeholders and colleagues across the enterprise to scope requests. Extracts data from various data sources validate results create relevant data visualizations and share with requester. Facilitates the ongoing tracking and trending of various initiatives including but not limited to: denials downgrades registration user errors and sends monthly reporting package consisting of denial trends aged AR high dollar accounts and other items as requested to share with respective facility Finance Directors and Operational dashboards and automate refreshes as appropriate.

• Product Ownership collaborates and act as the voice of the customer to offer concrete feedback and project requests as well as an advocate for analytics from within the business units themselves.

• Identifies designs and implements internal process improvements: automating manual processes optimizing data delivery redesigning infrastructure for greater scalability etc. Monitors the progress and successful completion of the identified opportunities.

• Works with CCHS staff and thirdparty payer provider representatives to identify root cause/source of denials and recommends processes to minimize or eliminate no response denials and underpayments to improve cash flow.

• Must possess critical thinking and creative problemsolving skills along with the ability to communicate well with stakeholders throughout the enterprise.

• Create and maintain automated reconciliation tools (e.g. via Access database or equivalent) to manage vendorassigned accounts in an efficient manner as well as aide in the automation of invoice reconciliation for to track and convey vendor performance via reporting.

• Develops tables stored procedures graphs narratives presentations and reporting media to facilitate understanding of the results and the ability to act on findings. Uses proprietary software packages (e.g. MS Excel MS Access SAP Business Intelligence Epic) to create user friendly data collection systems and efficient reporting and analysis outputs.

• Construct maintain and report out upon request monthly reporting packages consisting of denials trends aged Accounts Receivable high dollar accounts and other requested reports to share with Finance and Operational Leadership.

• Working with CCHS Epic Support and Epic Technical Support may act as the primary contact for Epicrelated revenue cycle reporting needs. Includes the review validation and reconciliation of any new Epic reporting tools/packages.

• Develops and establishes guidelines standards methodologies and conventions for report writing and documentation. Maintains reporting inventory and reporting templates including the history of report production.

• Handles all routine and adhoc report requests as assigned in an efficient and accurate manner.

• Reports any problematic processes workflows or system issues and develops solutions for possible resolution in a timely manner to responsible party.

• Support CCHSs vision of customer service excellence through continual training education feedback and performance measurement of staff and ensure that work performed supports the mission of delivering a Superior Experience for Patients Physicians Employees Partners and Payors.

EDUCATION AND EXPERIENCE REQUIREMENTS:

• Minimum Bachelors degree is required preferably in the field of Health Information Healthcare Business Administration Computer Science Finance or Accounting.

• 2 3 years of experience in data analysis/data visualization is a healthcare setting preferred.

• 2 3 years of healthcare billing experience and/or accounts receivable experience working with Epic or similar E.H.R.

• Epic Systems certifications in Cogito Clarity Data Model Caboodle Data Model and Revenue Data Model are strongly preferred or must obtain within six 6 months of hire.

• Coding certification is preferred.

KNOWLEDGE SKILL AND ABILITY REQUIREMENTS:

• Familiarity with electronic health record and financial systems. i.e. Epic Systems Cerner Peoplesoft WorkDay Infor EPSi Strata etc. Epic experience preferred.

• Proficient in SQL.

• Experience with visual analytics tools: Tableau QlikView Power BI Epic SlicerDicer etc.

• Exposure with cloud vendors and services: Microsoft AWS Google.

• Experience with relational SQL and NoSQL databases including Oracle MS SQL Server HBase etc.

• Microsoft Office applications experience. Advanced Excel proficiency required. MS Access and Crystal Reports or equivalent.

• Thorough understanding of ICD10 CPT codes HCPCS codes hospital and physician billing thirdparty reimbursement and contract terms.

• Ability to explain charges payments and adjustments for the respective entities in laymans terms.

Christiana Care Health System is an equal opportunity employer firmly committed to prohibiting discrimination whose staff is reflective of its community and considers qualified applicants for open positions without regard to race color sex religion national origin sexual orientation genetic information gender identity or expression age veteran status disability pregnancy citizenship status or any other characteristic protected under applicable federal state or local law.