The Revenue Cycle Integrity Analyst is a key member of the Revenue Cycle Team reporting directly to the Director of Revenue Cycle Integrity. This position is responsible for identifying trends, collaboratively working with leadership to produce in-depth reporting that will help improve the revenue cycle performance within the Ambulatory Hospitals of UnityPoint Health. This Analyst will be responsible for creating dashboards, managing and monitoring all aspects of the hopsital related revenue stream. This role will have ongoing interaction with hospital leadership, hospital revenue cycle staff, coding staff, billing staff, and IT teams.

This individual will focus on implementing and supporting continuous improvement in key revenue cycle functions including Registration, Coding, and Billing. The Analyst will maintain a good working relationship with all hospitals to ensure clear communication and a collaborative approach to implementing best practice processes.

Location: Remote - Applicants must reside in the UnityPoint Health geography of Iowa, Illinois, or Wisconsin. 

Hours: Monday-Friday, day shift 

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.  

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:      

• Expect paid time off, parental leave, 401K matching and an employee recognition program.   

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.  

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.   

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.   

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. 

Find a fulfilling career and make a difference with UnityPoint Health.

Revenue Cycle Improvement

• Analyzes data to identify opportunities for process improvement
• Applies analytic principles and is able to organize, interpret and communicate data related to revenue integrity
• Develop and produce reporting that will create accountability and drive change
• Develops and complete critical Revenue Cycle projects by collaborating with key stakeholders across UnityPoint Health - These projects affect business operations to a substantial degree
• Collects, monitors and analyzes data, and provides recommendations to hopsital leadership to drive better performance throughout the revenue cycle
• Responsible for decision making to improve and impact charge issues, complex claims processing workflows and regulations
• Provides expert consultation to leadership as the subject matter expert for revenue cycle data
• Interprets existing revenue cycle policies and operating practices to make recommendations for improvements
• Responsible for maintaining in-depth understanding of the entire revenue cycle
• Responsible for troubleshooting registration, coding, and correct coding initiative (CCI) edits
• Research and resolve charge review, claim edit, and denial in assigned work ques(WQ)
• Liaison for the billing office team members - Answering questions and troubleshoot accounts as needed
• Maintain understanding of new rules and regulations related to billing
• Research new service line rules and regulations
• Responsible for self-monitoring of WQs and identifying potential charging issues

Performance Monitoring/Revenue Integrity

• Responsible for applying knowledge of revenue cycle principles to ensure accurate and compliant billing
• Assists with collection, monitoring and analyzing data, and gives feedback to management for recommendations to leadership to drive better performance throughout the revenue cycle
• Identifies different types of data that require tracking to improve revenue cycle performance
• Develops easy-to-interpret reporting based on collected data and develops operating procedures in collaboration with hospital leadership to ensure continued monitoring
• Provides guidance and education to Revenue Integrity Specialist related to performance monitoring and revenue integrity functions
• Work with hospital leadership to prioritize suggested changes
• Provides training as needed to improve operations
• Monitor revenue cycle Key Performance Indicators and identify areas of opportunity for improvement and efficiency
• Drive change through data and collaboration with hospital leadership and staff

Denials Management

• Work with hospital leadership and staff to identify and remediate denials through rules and EMR build
• Produce reports that track performance and are easy-to-interpret
• Develop an understanding of complex rules and regulations governing insurance, appeal activities, trends, etc. and make recommendations on system build to accommodate changes in these areas
• Develop an understanding of the entire revenue cycle and the factors that lead to denials and revenue loss
• Serves as the subject matter expert for leadership, peers and team members for denials management

• High School Diploma or GED - bachelor's degree preferred in Healthcare Administration, Business, Mathematics, or Computer Science 
• 4 years of progressive experience in revenue cycle/medical billing - 2 years of experience in healthcare analytics preferred 
• Valid driver’s license when driving any vehicle for work-related reasons
• Strong skills including professionalism, interpersonal skills, ability to communicate effectively through written and verbal methods, process improvement skills
• Fluent with Epic and Microsoft office programs
• Ability to manipulate large amounts of data
• Demonstrated decision making as it relates to processing, reconciling, and ensuring the accuracy of revenue and charge activity
• Knowledge of entire revenue cycle process Knowledge of medical terminology and coding