Revenue Cycle Analyst I

ECU Health

About ECU Health Medical Center

ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.

Position Summary

The Revenue Cycle Analyst is responsible for analyzing and optimizing revenue cycle processes. This includes analyzing revenue cycle data, identifying opportunities for improvement, and implementing strategies to increase revenue and improve patient satisfaction. The Revenue Cycle Analyst will maintain direct working relationships with management and key staff members in Revenue Cycle.

Responsibilities

• Identify trends; provide documentation, data/reporting to Revenue Cycle Management and owning area key stakeholders, offer suggestions for process improvement, and develop countermeasures in conjunction with operational areas.
• Regularly tracks and analyzes data to identify, recommend, and implement opportunities to secure revenue for the organization; analyzes and reviews third-party payer medical claims and develops and executes strategies to decrease denials system-wide.
• Identifies trends or patterns that impact payment optimization, and collaborates with departments to establish action plans, initiatives, and policies to reverse negative patterns.
• Researches and analyzes applicable regulatory, coding, and billing rules and educates departments on system application regulations and process requirements.
• Identifies revenue opportunities and provides appropriate investigation, follow-up, and resolution.
• Analyzes trends and inefficiencies in charges and recommends suitable operational improvements in an effort to prevent incorrect payments and denials.
• Complete monthly standard reports: parse and share trends and data to operational areas for review on a monthly basis; attend needed follow-up calls for support in operational reviews amongst owning areas.
• Develop and maintain Revenue Cycle department intranet site.
• Serves as an active team member; participates in department and company-wide initiatives; contributes to the overall culture.
• Maintains tracking documents and dashboards.
• Conduct special projects as needed.
• Perform other related duties as required.
  
  

Minimum Requirements

Required Education/Course(s)/Training:

• Bachelor's degree in Healthcare Administration, Finance, Business, or related field
• OR Associate's degree with relevant work or internship experience
• OR 5 years of related work experience in a healthcare revenue cycle environment
• OR Information Systems or Microsoft Office Specialist certification or other equivalent technology credential in lieu of a degree
  

Required Certification/Registration

• Epic Resolute certification (must obtain within 6 to 8 months from date of hire)
  
  

Preferred Education

• Epic PB/HB Resolute, Cadence, and Prelude certification
  
  

Performance Expectations

• Successful achievement of the following -
• Strong analytical skills
• Must be able to work independently and efficiently with little supervision
• Strong customer service and human relations abilities
• Ability to manipulate large sets of data in multiple databases is required
• Ability to use various computer applications is preferred including EPIC
• Ability to react to frequent changes in duties and volume of work
• Ability to recognize, evaluate, solve problems, and correct errors
  

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.