Revenue Integrity and Performance Analyst

University of Iowa

Iowa City (IA)

Hybrid

USD 75,000 - 110,000

Full time

2 days ago

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Benefits offered by this job

Hybrid work model

Job summary

University of Iowa in Iowa City is seeking a full-time Revenue Integrity and Performance Analyst. The role leads EPIC operations, coding/billing oversight, and data-driven revenue optimization within the Pediatrics department.

You will collaborate with clinical and operational teams to improve documentation quality and financial performance.

Qualifications

Bachelor's degree required in a health/finance/analytics related field.
3+ years in healthcare operations, revenue cycle, coding, analytics, or clinical administration.
Experience with EPIC workflows and provider operations.
Experience creating reports and dashboards with BI tools.

Responsibilities

Serve as primary departmental resource for coding, billing, documentation, and charge capture inquiries.
Analyze coding and billing trends to identify revenue opportunities and inefficiencies.
Collaborate with central teams to ensure compliant coding practices.
Monitor provider coding patterns, documentation quality, and reimbursement performance.
Develop dashboards and reports to support leadership decision making.
Track productivity metrics like wRVUs, charges, collections, and reimbursement metrics.
Oversee EPIC onboarding, training, and workflow optimization.

Skills

EPIC workflows

Revenue cycle analytics

Power BI

Data analysis

Education

Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, Public Health, Finance, Analytics, or related field

Tools

EPIC

Power BI

Job description

The UI Stead Family Department of Pediatrics is seeking a full-time Revenue Integrity and Performance Analyst. This position serves as a key operational leader within the Department of Pediatrics, providing strategic and operational collaboration and oversight for clinical systems, revenue optimization, coding compliance, data analytics, and records management functions. This position acts as the departmental subject matter expert for EPIC workflows, provider EPIC/coding onboarding and training, coding and billing operations, and performance reporting. Working collaboratively with departmental leadership, physicians, advanced practice providers, hospital operational teams, central revenue cycle departments, health information management, information technology, and analytics teams, this position ensures efficient clinical operations, accurate revenue capture, data-driven decision making, and regulatory compliance. The role is responsible for identifying and implementing operational improvement opportunities, developing key performance metrics, and enhancing departmental financial and operational performance.

Duties To Include

Coding, Billing, and Revenue Integrity

Serve as the primary departmental resource for coding, billing, documentation, and charge capture inquiries.
Analyze coding and billing trends to identify revenue enhancement opportunities and operational inefficiencies.
Partner with central coding, billing, compliance, finance, and revenue cycle teams to ensure accurate and compliant coding practices.
Monitor provider coding patterns, documentation quality, and reimbursement performance.
Support coding education initiatives and provider feedback programs.
Evaluate denials, claim edits, payer trends, and reimbursement issues to identify corrective actions.
Develop recommendations for improving clinical documentation and optimizing revenue capture.
Assist department leadership in monitoring productivity measures such as wRVUs, charges, collections, and reimbursement metrics.

EPIC Operations and Provider Support

Serve as the department's primary administrative lead and liaison for EPIC-related activities.
Coordinate provider EPIC onboarding, training, access requests, template configuration, and workflow optimization.
Ensure providers and staff are appropriately enrolled in required EPIC training programs and maintain compliance with organizational requirements.
Collaborate with Information Systems, Clinical Informatics, and operational stakeholders to implement new EPIC functionality and workflow enhancements.
Troubleshoot EPIC-related issues and coordinate resolution with appropriate institutional teams.
Develop and maintain departmental training resources and operational guidance documentation.
Assist providers with in-basket review and clean-up.
Track UI Physicians deficiency letters along with incentive plan penalty tracking/reporting. Work directly with providers to improve their delinquency ratios, as needed.

Data Analytics and Performance Reporting

Develop, maintain, and analyze departmental operational and financial dashboards utilizing Power BI and other reporting tools.
Generate routine and ad hoc reports to support departmental leadership decision making.
Track and report key performance indicators, including:
- Revenue and collections
- Work RVUs (wRVUs)
- Patient volumes
- Clinic utilization
- Patient satisfaction metrics
- Access and scheduling indicators
- Inpatient volumes
- Average daily census (ADC)
- Faculty and provider productivity
Identify trends, risks, and opportunities through data analysis and benchmarking.
Present findings and recommendations to departmental leadership and committee groups.

Records Management and Operational Excellence

Provide direct oversight of the department's Records Management team, in collaboration with the Records Management Supervisor.
Ensure efficient management of medical records requests, documentation workflows, and regulatory compliance activities.
Evaluate workflows and implement process improvement initiatives to improve efficiency, service delivery, and customer satisfaction.
Develop and monitor service level expectations and operational performance measures.
Partner with Records Management Supervisor to develop best practices and standard operating procedures across records management functions.

Strategic Planning and Leadership

Serve as a key advisor to departmental leadership on operational, revenue cycle, and analytics initiatives.
Lead or participate in departmental projects related to clinical operations, technology optimization, performance improvement, and revenue enhancement.
Collaborate with institutional stakeholders to advance departmental goals and strategic priorities.
Support change management efforts associated with new systems, workflows, and organizational initiatives.

About The Department Of Pediatrics

The Stead Family Department of Pediatrics is a national leader in pediatric medicine. The Department's mission is to provide outstanding care to the children of Iowa and beyond by being a leader in state-of-the-art clinical care to children, performing cutting-edge research to find new treatments and cures for childhood illnesses and educating the next generation of pediatric health care providers. The Department comprises the medical and research staff of UI Stead Family Children’s Hospital. UI Stead Family Children’s Hospital is one of the nation’s top-ranked pediatric care and research institutions, and Iowa’s only comprehensive children’s hospital.

Required Qualifications

Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, Public Health, Finance, Analytics, or related field.
3+ years of progressively responsible experience in healthcare operations, revenue cycle management, coding, analytics, or clinical administration.
Experience working in an academic medical center, physician practice, hospital, or healthcare organization.
Experience supporting EPIC workflows and provider operations.
Experience creating reports and dashboards using business intelligence tools.

Desired Qualifications

Master's degree in Healthcare Administration (MHA), Business Administration (MBA), Public Health (MPH), Health Informatics, or related field.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or similar certification.
EPIC certification, credentialing, or significant EPIC operational experience.
Lean, Six Sigma, or process improvement experience.

Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process. For additional questions, please contact Pediatrics Human Resources at pedsuichildrenshr@uiowa.edu. This position is eligible for a combination of on-campus (UI Health Care) and remote work. Remote work must be performed at an offsite location within the state of Iowa. Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location. Work arrangement options will be discussed during the hiring process. This position is not eligible for university sponsorship for employment authorization.

Additional Information