Revenue Cycle Optimization Specialist

ohiohealth; Kentucky; Hybrid; USD 70,000 - 100,000; Full time

Job summary

OhioHealth is seeking a Revenue Cycle Optimization Specialist to bridge end users and IT, driving workflow improvements and technology-enabled efficiency within the revenue cycle.

You will collaborate with clinical and IT teams to redesign processes, support testing and upgrades, and lead improvement projects while prioritizing initiatives across departments.

Qualifications

• Bachelor's degree required.
• In-depth knowledge of healthcare revenue cycle operations (billing, coding, claims, reimbursement).
• Proficiency with Epic EHR, data tools and health informatics platforms.
• Familiarity with regulatory compliance (HIPAA, CMS) and process improvement methods.

Responsibilities

• Improve revenue cycle workflows and system design through analysis and testing.
• Lead process improvement teams and coordinate with IS and improvement staff.
• Support end-user testing, upgrades, and prioritization of requirements.
• Map current revenue cycle processes and identify bottlenecks for efficiency gains.
• Provide consultative support on workflow and technology solutions.

Skills

Revenue cycle knowledge

Epic EHR proficiency

Data analytics

Excel

Lean Six Sigma

Project management

Education

Bachelor's Degree

Tools

Epic EHR

Excel

Business informatics platforms

Job description

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.

Job Description Summary

Revenue Cycle Optimization Specialists serve as key liaisons between end users and IT, driving the enhancement of revenue cycle workflows through process improvement, system design, and the implementation of innovative technologies. In alignment with OhioHealth's strategic vision, they lead and support initiatives that optimize operational efficiency and financial performance through the use of technology. These specialists actively engage with stakeholders across departments to identify challenges, define solutions, and contribute to both departmental and enterprise-wide improvement efforts.

Responsibilities And Duties

Performance Management: 35%

• Analyzes revenue cycle existing systems, primarily Epic EHR, to identify areas for improvement and efficiency gains.
• Provides support to optimize the use of revenue cycle systems through development and refinement of tools, workflows, processes, structures, and best practices to enhance end user satisfaction, staff productivity and financial outcomes.
• Gathers and analyzes data to support fact findings, process improvement and system optimization opportunities.
• Identifies and contributes to strategies to manage change and encourages change adoption.
• Works collaboratively with Information Services associates to capture improvement data and to bridge communication between IS and improvement project teams.
• Serves as lead member of process improvement teams, providing expertise in revenue cycle workflows and system design to support workflows.

Product Owner: 35%

• Works closely with revenue cycle staff, operational leadership, and Information Technology staff to clarify needs, prioritize requests, recommend technology design and workflow plans while executing changes and adaptations to revenue cycle and operational technology.
• Manages multiple priorities/requests at a time and can ascertain by working with operational leadership the priorities.
• Assist with end user acceptance testing for revenue cycle applications.
• Leads organization prioritization meetings to assist operational managers with priorities.
• Provides support in the collaboration with individuals or departments to identify practical solutions both electronic and non-electronic to system problems.
• Communicates updates for upgrades and enhancements of Revenue Cycle systems.
• Provides consultative services to customers and application and development teams as to workflow processes and technological solutions.
• Provides support in response to user problems and questions regarding functionality, operations, input/output, reporting and general operating procedures.
• Map out the revenue cycle process to understand current workflows and identify bottlenecks.
• Understands technical capabilities and operational practices to interpret the needs of operations into a technical design or redesign a process for continued improvement.

Project Management: 30%

• Leads and/or participates in goal deployment and projects that range from small to large in scope, risk, and impact.
• Facilitates demand management and collaborates with leaders and end-user to align priorities, track demand progress, elevate issues, and create decision documentation as applicable to frame decision dialogue and support.
• Assist in implementation of third-party vendors that support Revenue Cycle
• Acts as project coordinator for focused improvement events and drives deliverables to an end date.
• Delivers on set deadlines, assigned responsibilities, and monitors and summarizes progress of multiple projects in unison.

As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties.

The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time.

Minimum Qualifications

• Bachelor's Degree (Required)

Additional Job Description

SPECIALIZED KNOWLEDGE

Must have in-depth knowledge of healthcare revenue cycle operations-including billing, coding, claims, and reimbursement-paired with expertise in health informatics and data analytics. Should be proficient with Epic EHR, data tools (Excel, and business informatics platforms), and understand clinical and financial data integration. Familiarity with regulatory compliance (e.g., HIPAA, CMS), process improvement methodologies (e.g., Lean, Six Sigma), project management and system optimization is also essential.

Work Shift: Day

Scheduled Weekly Hours : 40

Department: RC Analytics And Informatics

Join us! ... if your passion is to work in a caring environment ... if you believe that lea