Business Systems Analyst 3 - Revenue Integrity
Business Systems Analyst 3 - Revenue Integrity
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Job Description
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The UHealth-University of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity.
The Business Systems Analyst 3 - Central (H) collects detailed data and provides analysis to assist in the development of technology plans and strategies that enhance overall performance reduce costs and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established operations systems methods practices and procedures to evaluate their effectiveness and ultimately makes recommendations for improvements. Additionally the Business Systems Analyst 3 - Central (H) integrates people equipment facilities and other resources to improve work results operating efficiency effectiveness and productivity. This incumbent assists in the design delivery and improvement of in-house software applications training programs and related courseware.
Core Responsibilities:
Reviews analyzes and triages application issues and cases. Creates and maintains detailed support documentation of ongoing projects tests internal application releases and performs periodic system maintenance.
Provides training for internal users.
Monitors system availability working closely with system administrators and business systems analysts.
Recommends changes in development maintenance and system standards. Develops detailed action plan with goals and target dates and obtains necessary approvals.
Maintains ongoing communication and rapport with the management team regarding project activity.
Flowcharts existing processes versus improved flow. Prepares time and cost estimates for projects and proposals. Conducts research for best practice models and benchmarking.
Applies industrial and management engineering techniques such as process designs optimization models forecasting methodologies and chain management principles to improve overall systems.
Analyzes existing flow of people activities and materials employee work methods and utilization policies and procedures staffing levels supervisory structure space utilization supply and demand optimization methods forms equipment and computerized systems to design improved work systems.
Designs systems for production and inventory control in buying storing handling and processing of materials and supplies. Designs facilities management systems and standard operating procedures.
Develops management control systems to aid in financial planning and cost analysis.
Improves productivity through the application of technology and human factors. Designs supply chain management standards across the university.
Conducts data collection to measure baseline versus improvement before and after recommendations are implemented.
Creates formal presentations for projects and studies including data collected methodology used results obtained recommendations for improvement and cost and savings involved.
Participates in continuing quality improvement activities.
Adheres to University and unit-level policies and procedures and safeguards University assets.
Department Specific Functions:
Business Systems Analyst 3 - Revenue Integrity supports the financial health of the organization by ensuring accurate compliant and complete charge capture and billing processes. This role is responsible for analyzing clinical and financial data identifying revenue leakage and supporting system improvements that enhance revenue integrity across the healthcare enterprise.
Working under the direction of the Director of Revenue Integrity Systems the analyst collaborates with clinical departments coding teams IT and compliance to monitor revenue cycle performance resolve discrepancies and implement best practices in charge capture and reimbursement.
This position plays a pivotal role in ensuring revenue integrity through: trend reporting and claims analysis development of payor scorecards Charge Description Master (CDM) reviews including impact analysis on all charge revenue and CPT code changes and financial modeling to drive revenue improvement. Staying current with industry trends and emerging technologies is essential to support strategic goals.
Charge Capture & Revenue Analysis
Review clinical documentation and charge data to ensure accurate and complete billing.
Identify trends in missed charges denials and underpayments.
Conduct root cause analysis and recommend corrective actions.
System & Workflow Support
Assist in testing and validating revenue cycle system changes and upgrades.
Collaborate across IT and operational teams to improve charge capture workflows.
Support implementation of automation tools and reporting dashboards.
Provide education and feedback to clinical and operational teams on charge capture best practices.
Compliance & Documentation
Ensure adherence to payer guidelines coding standards and regulatory requirements.
Participate in internal audits and support external audit responses.
Maintain documentation of findings recommendations and resolutions.
Reporting & Insights
Generate and analyze reports on revenue integrity KPIs.
Present findings to leadership and operational teams.
Support data-driven decision-making and performance improvement initiatives.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE RESPONSIBILITIES:
Bachelors degree in relevant field
Certification in Revenue Integrity required (e.g. CRCR CHRI CPC CPMA).
Epic Resolute Certification or Proficiency preferred
Minimum 5 years of relevant experience 3 years of experience in revenue cycle management (billing coding or financial analysis) preferred
Understanding of healthcare billing coding (CPT ICD-10 HCPCS) charge capture and reimbursement methodologies. preferred
Experience with major EHR and revenue cycle platforms (e.g. Epic Cerner) preferred
Familiar with state-of-the-art industry-specific technology and solutions
Analytical thinking and attention to detail
Demonstrated knowledge project management and change control
Proficiency with Microsoft Office Suite programs Excel (pivot tables) Visio Project PowerPoint Word.
Knowledge of operational healthcare hospital and/or ambulatory and inpatient workflows and medical terminology.
Ability to communicate ideas and problem solutions
Ability to effectively work with people in other departments and/or outside of the enterprise.
Excellent interpersonal skills
Outstanding oral and written communication skills
Works well independently or as part of a team
Any appropriate combination of relevant education experience and/or certifications may be considered.
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The University of Miami offers competitive salaries and a comprehensive benefits package including medical dental tuition remission and more.
UHealth-University of Miami Health System South Floridas only university-based health system provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center we are proud to serve South Florida Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching research and patient care. Were the challenge youve been looking for.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:
Full timeEmployee Type:
StaffPay Grade:
H12Required Experience:
IC
Employment Type
Full-Time
