Revenue Cycle Business Analyst

Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!

ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of “America's Best Hospitals” by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®.

THIS ROLE IS 100% REMOTE

PRIMARY FUNCTION:

Under the direction of the Corporate Director, Revenue Cycle, this position utilizes numerous applications to produce actionable Revenue Cycle-wide KPI and related reporting intended to provide insights into the financial performance of CCHS enterprise. Identifies and reports key metrics that affect revenue recognition, cash flow, regulatory compliance, payer performance, staff performance, as well as vendor performance. Interprets information and helps to develop recommendations for automation, workflow changes and/or system updates.  This individual must be a self-starter, can work with various levels of staff and management, as well as the ability to cultivate great working relationships throughout the enterprise.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Supports the Revenue Cycle Team by building routine and ad-hoc reports and analysis of data pertinent to identifying gaps in process that negatively impact revenue and reimbursement. 

• Data Visualization – development of data visualization and brings expert knowledge of data visualization tools and techniques to drive analytics. Works with data engineers to optimally design and implement semantic data consumption within data visualization environments.  Evaluates large amounts of healthcare data to find significant patterns, trends, and relationships. 

• Reporting – collaborates with stakeholders and colleagues across the enterprise to scope requests. Extracts data from various data sources, validate results, create relevant data visualizations, and share with requester. Facilitates the ongoing tracking and trending of various initiatives, including but not limited to: denials, downgrades, registration user errors, adjustments. Develops and sends monthly reporting package consisting of denial trends, aged AR, high dollar accounts, and other items as requested to share with respective facility Finance Directors and Operational Leaders. Develop dashboards and automate refreshes as appropriate.

• Product Ownership – collaborates and act as the voice of the customer to offer concrete feedback and project requests as well as an advocate for analytics from within the business units themselves.

• Identifies, designs, and implements internal process improvements: automating manual processes, optimizing data delivery, re-designing infrastructure for greater scalability, etc. Monitors the progress and successful completion of the identified opportunities.

• Works with CCHS staff and third-party payer provider representatives to identify root cause/source of denials and recommends processes to minimize or eliminate no response, denials, and underpayments to improve cash flow.

• Must possess critical thinking and creative problem-solving skills, along with the ability to communicate well with stakeholders throughout the enterprise.

• Create and maintain automated reconciliation tools (e.g. via Access database or equivalent) to manage vendor-assigned accounts in an efficient manner as well as aide in the automation of invoice reconciliation for vendors.  Responsible to track and convey vendor performance via reporting.  

• Develops tables, stored procedures, graphs, narratives, presentations and reporting media to facilitate understanding of the results and the ability to act on findings. Uses proprietary software packages (e.g., MS Excel, MS Access, SAP Business Intelligence, Epic) to create user friendly data collection systems and efficient reporting and analysis outputs. 

• Construct, maintain, and report out upon request, monthly reporting packages consisting of denials trends, aged Accounts Receivable, high dollar accounts, and other requested reports to share with Finance and Operational Leadership.

• Working with CCHS Epic Support and Epic Technical Support, may act as the primary contact for Epic-related revenue cycle reporting needs.  Includes the review, validation, and reconciliation of any new Epic reporting tools/packages.

• Develops and establishes guidelines, standards, methodologies and conventions for report writing and documentation.  Maintains reporting inventory and reporting templates, including the history of report production.  

• Handles all routine and ad-hoc report requests as assigned in an efficient and accurate manner. 

• Reports any problematic processes, workflows or system issues and develops solutions for possible resolution in a timely manner to responsible party. 

• Support CCHS’s vision of customer service excellence through continual training, education, feedback and performance measurement of staff and ensure that work performed supports the mission of delivering a Superior Experience for Patients, Physicians, Employees, Partners and Payors.

EDUCATION AND EXPERIENCE REQUIREMENTS:

• Minimum Bachelor’s degree is required, preferably in the field of Health Information, Healthcare, Business Administration, Computer Science, Finance, or Accounting. 

• 2 - 3 years of experience in data analysis/data visualization is a healthcare setting preferred.

• 2 - 3 years of healthcare billing experience and/or accounts receivable experience working with Epic or similar E.H.R.

• Epic Systems certifications in Cogito, Clarity Data Model, Caboodle Data Model, and Revenue Data Model are strongly preferred or must obtain within six (6) months of hire.

• Coding certification is preferred.

KNOWLEDGE, SKILL, AND ABILITY REQUIREMENTS:

• Familiarity with electronic health record and financial systems. i.e. Epic Systems, Cerner, Peoplesoft, WorkDay, Infor, EPSi, Strata etc.  Epic experience preferred.

• Proficient in SQL.

• Experience with visual analytics tools: Tableau, QlikView, Power BI, Epic SlicerDicer, etc.

• Exposure with cloud vendors and services: Microsoft, AWS, Google.

• Experience with relational SQL and NoSQL databases, including Oracle, MS SQL Server, HBase, etc.

• Microsoft Office applications experience.  Advanced Excel proficiency required. MS Access and Crystal Reports or equivalent.

• Thorough understanding of ICD10, CPT codes, HCPCS codes, hospital and physician billing, third-party reimbursement, and contract terms.

• Ability to explain charges, payments, and adjustments for the respective entities in layman’s terms.

Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.