Revenue Cycle Data Analyst

Revenue Cycle Data Analyst

Job Summary

The Revenue Cycle Data Analyst is supportive of the Mission, Values, and Strategic Goals and Objectives of the Thomas Health System. The Data Analyst will be responsible for assisting the Director of Revenue Cycle at Thomas Health System by fulfilling the duties outlined in this document. The content of this document is not a comprehensive list of duties / expectations, but is indicative of the general nature and level of work expected in this position. Additionally, the candidate should be committed to transforming data into readable, goal-driven reports for continued innovation and growth.

Education

The Revenue Cycle Data Analyst will hold a minimum of a Bachelor’s Degree in Business Administration and / or Finance and / or Mathematics – Computer Engineering. Preference will be shown to individuals who are a Masters level in their professional area of study.

Licensure

N / A

Certification

N / A

Experience

2+ years’ Data mining experience. Experience in healthcare business and / or finance will be preferred; HCA / Parallon Business Objects (BOBJ) experience a plus. Strong SQL or Excel skills with the ability to learn other analytic tools.

Computer / Typing / Math Skills

The Revenue CycleData Analyst will have the technological skills to work with the current state of the art technology and work with software including but not limited to Excel, Microsoft Word, PowerPoint, and Outlook. In addition, this individual must be able to work with software developed for revenue cycle reporting / analytics at Thomas Health System.

Job Specific Requirements

The Revenue CycleData Analyst will possess a basic knowledge of the Revenue Cycle with the expectation of attaining a more detailed working knowledge of this department. To accomplish this, the individual must have the ability to read and comprehend federal publications, journal articles, and white papers written on the topic of Revenue Cycle and understand managed care contract terms and reimbursement policies.

Hours of Work

Must be able to work scheduled hours as dictated by business needs including flexing up and down to volume demand.

POPULATION SERVED

Neonate (0-1 Month)

Pediatric Infant (1 month to 12 months)

Pediatric Child (1 year to 12 years)

Adolescent (13 years to 17 years)

Adult (18 years to 64 years)

Geriatric (65 years and older)

N / A

WORK ENVIRONMENT ( R -Rare, F -Frequent, C- Continual, N / A -Not Applicable)

Toxic / Caustic Chemicals or Detergents

Extreme Conditions, Hot or Cold

Dust / Fumes / Gasses

Moving Mechanical Parts

Potential Electric Shock

X-Ray or Other Electromagnetic Energy

High Pitched Noises

Needles or Other Sharp Objects

Blood or Body Fluids Bloodborne Pathogens (BBP)

Communicable Disease (Tuberculosis, Meningitis, etc)

Unprotected Heights

CRT (Computer) Monitor

Frequent Repetitive Motions

PERSONAL PROTECTIVE EQUIPMENT ( R -Rare, F -Frequent, C- Continual, N / A -Not Applicable)

N / A

Respiratory; Breathing Equipment

N / A

Eye Protection

N / A

Head Covering

N / A

Hearing Protection

N / A

Hand Protection

N / A

Body Protection

PHYSICAL REQUIREMENTS (Mark one)

S - Sedentary Work : Exerting up to 10 pounds of force occasionally. (Occasionally : activity or condition exists up to 1 / 3 of the time) and / or a negligible amount of force frequently (Frequently : activity or condition exists from 1 / 3 to 2 / 3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

L - Light Work : Exerting up to 20 pounds of force occasionally, and / or up to 10 pounds of force frequently, and / or a negligible amount of force constantly (Constantly : activity or condition exists 2 / 3 or more of the time) to move objects. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work : (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and / or pulling of arm or leg controls; and / or (3) when the job requires working at a production rate pace entailing the constant pushing and / or pulling of materials even though the weight of those materials is negligible. NOTE : The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

M - Medium Work : Exerting 20 to 50 pounds of force occasionally, and / or 10 to 25 pounds of force frequently, and / or greater than negligible up to 10 pounds of force constantly to move objects.

H - Heavy Work : Exerting 50 to 100 pounds of force occasionally, and / or 25 to 50 pounds of force frequently, and / or 10 to 20 pounds of force constantly to move objects.

V - Very Heavy Work : Exerting in excess of 100 pounds of force occasionally, and / or in excess of 50 pounds of force frequently, and / or in excess of 20 pounds of force constantly to move objects.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Assisting in the monitoring and tracking / reporting measurements to provide data to the Executive Director of Revenue Cycle.

Review reports supplied by outside vendors including but not limited to managed care contracts, Monthly Operating Reports, Denial Summary Reports and patient accounting system generated reports.

Provide data, information, and reports to ensure appropriate escalation of information to leadership.

Use statistical methods to analyze data and generate useful business reports

Work with departmental managers to outline the specific data needs for each business method analysis project

Filter and “clean” data by reviewing computer reports, printouts, and performance indicators

Strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy

Strong verbal and written communication skills

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