Revenue Cycle Analyst, Expert

UPMC; Pittsburgh, Northern (Allegheny County, KY); Hybrid; USD 90,000 - 130,000; Full time

Job summary

UPMC is seeking a Revenue Cycle Analyst, Expert to support the Charge Management department. The role is full-time, primarily work-from-home with periodic on-site meetings at UPMC facilities across Pennsylvania, New York, and Western Maryland.

You will conduct complex analyses, audit revenue cycle operations, and deliver detailed financial and operational reports to senior leaders. You will lead data extraction/analysis initiatives, develop self-service reporting tools, and mentor other analysts

Qualifications

• Experience in data analytics within healthcare revenue cycle.
• Experience with billing and coding processes.
• Strong ability to produce complex financial/operational reports.

Responsibilities

• Serve as process expert and train other Revenue Cycle Analysts.
• Lead extraction/analysis of complex financial/operational datasets for assigned book of business.
• Develop and publish complex financial/operational reporting metrics with timely delivery.
• Audit revenue cycle operations and assist in resolving related issues.
• Create executive-level presentation materials and collaborate with senior management.

Skills

Data analytics

Revenue Cycle

Billing & Coding

Financial reporting

Audit/SOX

Training & mentoring

Job description

Are you experienced in data analytics? Do you have experience within the Revenue Cycle, including billing and coding? UPMC is hiring a full-time Revenue Cycle Analyst, Expert to support the Charge Management department. The position would work during normal business hours and is primarily work from home, however, although not often, travel on-site to UPMC facilities to meet with clinical and financial leaders would be required as needed. This includes UPMC hospitals, clinics, and professional offices in Pennsylvania, New York and Western Maryland.

The Revenue Cycle Analyst, Expert conducts complex and detailed analysis and/or evaluation of department financial and operational key performance indicators, and effectively delivers financial, statistical, and operational reporting projects. They provide detailed written analysis, financial and statistical reports and proposals outlining solutions and enhancements for assigned projects. They also audit revenue cycle operations (including detailed review of accounts receivable) and work with assigned departments to resolve all outstanding revenue cycle-related issues. The Revenue Cycle Analyst, Expert provides support to senior management and staff throughout revenue cycle analysis/auditing.

Responsibilities:

• Serve as a process expert and provide training and support to other Revenue Cycle Analysts. Lead efforts to extract and analyze complex financial/operational data set(s) for assigned book of business, including proactive determination of root cause drivers of significant variance. Analyze and identify trends and issues and work with appropriate personnel/departments to resolve.
• Lead efforts to prepare complex financial/operational reporting metrics, validating the quality and accuracy of the data, and ensuring that reports are published according to pre-defined delivery dates. Accurately classify and record financial transactions and events in accordance with generally accepted accounting principles, where appropriate. Lead meetings with senior Revenue Cycle, Finance and Clinical Administration management to present key metrics, review key drivers of Revenue Cycle outcomes and develop action plans to address identified issues.
• Develop and implement new self-service and/or visualization tools designed to more effectively deliver enhanced reporting solutions. Collaborate with Revenue Cycle operational teams to review business processes and identify opportunities for improved outcomes. Additionally, facilitate audits of revenue cycle operations to ensure compliance with published revenue cycle protocols.
• Effectively manage the reporting team request intake process, including timely acceptance of assignments, appropriate prioritization of project requests, and feedback to the requestor regarding status/delivery date. Ensure that all financial/operational reporting processes follow the prescribed data integrity & controllership protocols, including adherence and compliance with Sarbanes-Oxley controls. Stay current with changing payer and/or market drivers affecting Revenue Cycle and proactively evaluate impact on reporting needs.
• Create high-quality, executive-level presentation material summarizing key projects, issues, and/or reporting metrics. Promote a culture of collaborative, customer-focused service delivery with both internal and external team resources, including mentoring/knowledge-sharing with other team members.