Business Analyst - National Remote

About the Role

Key Responsibilities

• Works collaboratively with key stakeholders within the member organization including but not limited to coding, PFS, charge services, and department leaders.
• Contributes to process improvement initiatives within the enterprise revenue cycle by recognizing process improvement opportunities, anticipating, and proposing opportunities, engaging stakeholders, conducting root cause analyses, and developing and executing plans to achieve best practice.
• Contributes to the development and maintenance of policies and education.
• Proven ability to create ad hoc reports from the EMR and billing software systems.
• Works collaboratively with peers and managers to review audit results and takes the lead in developing plans of action or education as needed/directed by the Manager.
• Ability to be the representative for the RI Audit Team with Decision Support, RI Chargemaster Analysts, Charge Services, Compliance, Contracting and other departments to vet new service line requests prior to implementation.
• Independently analyzes key performance metrics, reports, and audit findings to develop and implement strategic plans to preserve and enhance revenue.
• Works collaboratively with EHR Liaison and IS to optimize the use of charge capture methodologies for clinically driven charge capture.
• Maintains a working knowledge of industry best practices, guiding principles, regulatory mandates, and payer requirements and applies understanding in the dissemination of education.
• Completes all annual educational as required by NLH HR and Revenue Integrity leadership.
• Continually works to preserve and enhance the integrity of revenue.

Requirements

• 4+ years of relevant knowledge in revenue cycle operations.
• In depth understanding of regulatory guidance, governments and commercial payer regulations related to hospital revenue cycle and the ability to interpret them and apply toward best practices within the enterprise revenue cycle.
• In depth understanding of hospital billing practices and reimbursement methodologies including DRG, APC, cost-based and other payment methodologies.
• Proven history of analytical and data interpretation skills.
• Demonstrated excellent written and verbal communication skills; able to compile data in an easy-to-read format.
• Demonstrated ability to research, define, effectively communicate, analyze and problem solve trends within the Revenue Cycle for resolution.
• Demonstrated ability to direct Revenue Integrity Analysts in projects for successful outcome.
• Demonstrated Intermediate level Microsoft Excel skills.

Nice to Have

• Demonstrated excellent interpersonal and communication skills, both written and verbal.
• Proven ability to manage multiple projects and affective prioritization.
• Proficient with Microsoft business applications with excellent excel skill level.
• Proven ability to provide exceptional customer service.
• Demonstrated ability to complete time sensitive projects and work both independently and collaboratively.
• Demonstrated ability to handle difficult and stressful situations with professional composure.
• Demonstrated solid understanding of charge methodologies and revenue cycle best practices.
• Demonstrated solid understanding of the Charge Master elements.
• Proven ability to read and interpret EMR Notes and Orders.
• Familiarity with NLH Billing Systems.
• Keeps abreast of current regulatory guidance and attends local, regional, or national conferences/seminars to remain current.
• Ability to provide back-up support and assist within the department as needed.

Qualifications

• Educational background is not explicitly specified but implied through experience and skills.

Benefits & Perks

• A comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution.
• Hourly pay range from $28.27 to $50.48 per hour based on full-time employment.
• All benefits are subject to eligibility requirements.