Reimbursement Analyst Decision Support

LifeBridge Health; Owings Mills (MD); On-site; USD 85,561,000 - 128,341,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

403(b) retirement plan

Tuition reimbursement

Paid time off

Free on-site parking

Job summary

LifeBridge Health's Sinai Hospital in Maryland is seeking a financial and reimbursement analyst to perform analysis, compliance, budgeting and external regulatory reporting, ensuring the accuracy of analyses, reports and projects measuring the health system's financial and operational performance.

You will develop tools and dashboards for daily and monthly reporting, assist with SNF reimbursement analysis and HSCRC-based reporting, and collaborate with Reimbursement and Compliance teams to drive

Qualifications

• 1-3 years of experience in finance/reimbursement
• Bachelor's degree preferred
• Pay range shown as $29.86–$44.79 Based On Experience

Responsibilities

• Analyze financial and reimbursement activities and reporting.
• Develop tools and dashboards for daily/weekly reporting of key indicators.
• Produce SNF CMI report and denial reporting.
• Assist in monthly financial statement variance analysis.
• Ensure data extraction and analysis for HSCRC methodology.

Skills

Data extraction

Dashboard reporting

Data analysis

Relational DBs

Education

Bachelor's Degree

Tools

MS Office

Access

Job description

About the Role:

Performs a variety of financial and reimbursement activities including analysis, compliance, budget and external regulatory reporting. The position develops, reviews and ensures the accuracy of analysis, reports and projects related to measuring the health system's financial and operational performance.

Responsibilities:

• Perform duties to help ensure reliable and stable systems information in a stable environment.
• Formulate system scope and objectives.
• Teams IT with Reimbursement in analyzing system performance and functionality.
• Leads in the formulation of tests scripts/plans.
• Executes test scripts/plans with clearly documented outcomes.
• Demonstrates ability to interpret and advise outcomes.
• Run HPM data and other BI Tools Monthly Reporting - Reven.
• Assists in monthly compliance calculation.
• Maintains the development and support of data extractions for internal and external use and analytics for sound decision-making, in order to manage reimbursement under the current HSCRC methodology.
• Produce RUGS reports and aid in SNF Reimbursement analysis.
• Work on Post Acute Readmissions for inclusion in monthly stat packages.
• Validates and produces SNF CMI report.
• Responsibility for Snapshot data base and related reports, reconciliations, analysis, including HSCRC tape reconciliations, Coding Audit documentation and product line analysis.
• Responsible for Denial Reporting.
• Responsible for Government Audit Reporting.
• Assist in the monthly financial statement variance analysis, providing detail information of rate and volume data.
• Develop tools/dashboards to report on a daily/weekly basis, key indicators for global budget.
• Redefine the way Reimbursement gathers and manipulates data, replicating services that are currently developed and provided by External Consultants.
• Develop reports using appropriate tools to manage large amounts of data to conduct analysis.
• Recommends best platform and programming language/toolset for projects.
• Cross training: Provide training to current staffing on Microsoft Office at an expert level.
• Provide training to current staffing on Microsoft Office at an expert level.
• Educate staff on how to use relational databases such as Access.
• Work with the CDM team and the Compliance Audit team to improve efficiency.

Requirements:

Experience: 1-3 years

Education: Bachelor's Degree preferred

Pay Range: $29.86 to $44.79 Based On Experience

Benefits:

• Medical, dental, and vision coverage starting the first of the month after hire, plus wellness programs and mental health support
• 403(b) retirement plan with employer match, pension, and life and disability insurance
• Tuition reimbursement toward advanced degrees and specialty certifications
• Generous paid time off, fitness discounts, and free on-site parking

About Sinai Hospital

Sinai Hospital of Baltimore is a nationally recognized academic medical center, a designated Level II Trauma Center, and the largest community hospital in Maryland. As part of LifeBridge Health - one of the region's most comprehensive healthcare systems - Sinai delivers advanced care with a mission to improve the health of the communities we serve, and to take care of the people who take care of patients.

About LifeBridge Health

LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.

With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in Maryland.

Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare.

LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.