Revenue Integrity and Performance Analyst

The University of Iowa; Iowa City (IA); Hybrid; USD 85,000 - 110,000; Full time

Job summary

The University of Iowa is seeking a full-time Revenue Integrity and Performance Analyst in Iowa City. This role leads clinical systems optimization, coding compliance, data analytics, and revenue performance, collaborating with EPIC teams and hospital operations to drive efficiency and compliant revenue capture.

Responsibilities include developing dashboards, monitoring wRVUs and reimbursement metrics, and coordinating with central revenue cycle and IT teams.

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.

Responsibilities

• 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.
• Develop and maintain departmental training resources and operational guidance documentation.
• Develop, maintain, and analyze departmental operational and financial dashboards utilizing Power BI and other reporting tools.
• Present findings and recommendations to departmental leadership and committee groups.

Skills

EPIC workflows

Revenue integrity

Data analytics

Performance reporting

Education

Bachelor's degree in Healthcare Administration or related field

Tools

Power BI

EPIC

Job description

Revenue Integrity and Performance Analyst

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 aswRVUs, charges, collections, and reimbursement metrics.

EPIC Operations and Provider Support

Serve as the department's primaryadministrativelead 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)

Access and scheduling indicators

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.

This position is not eligible for university sponsorship for employment authorization.

Additional Information

• Classification Title: Senior Business Analyst
• Appointment Type: Professional and Scientific
• Schedule: Full-time
• Work Modality Options: Hybrid within Iowa

Contact Information

• Contact Name: Pediatric Human Resources
• Contact Email: [e-mail]

Equal opportunity employer

The University of Iowa is an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, religion, national origin, age, sex, pregnancy (including childbirth and related conditions), disability, genetic information, status as a U.S. veteran, service in the U.S. military, sexual orientation, or associational preferences.

Persons with disabilities who need assistance or accommodations with the application or interview process may contact University Human Resources/Faculty and Staff Disability Services, [phone] or [e-mail] . For jobs in UI Health care, please contact UI Health care Leave & Disability Administration at 319-356-7543 .