出海雷达

高级收入周期分析师(系统应用分析师,高级)

Senior Revenue Cycle Analyst (System Application Analyst, Sr)

职能支持限定地区(需当地身份)
公司Oregon Health & Science University
薪资未公开
工作地点United States
地域资格限定地区(需当地身份)
时区要求日间重叠约 9 小时,基本正常作息
用工类型Other
发布时间12 天前
数据来源Himalayas
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注意地域限制:该职位明确限定在 United States 招聘。如果你是位于中国大陆的求职者,通常需要当地工作身份才能投递,或需与雇主确认是否接受独立合同(Contractor)形式合作。

部门概览
医院高级收入周期分析师负责实施、优化、监控和维护Epic收入守护者功能,以支持OHSU及其附属机构的合规收费捕获、收入完整性和报销优化。该职位是HB Epic收入守护者的首要主题专家,与收入周期团队、临床运营、患者财务服务、编码、合规、临床信息学和信息技术团队协作,识别收入流失,减轻计费风险,并提高收入周期表现。

职位职责
HB EPIC 收入守护者分析、设计与开发
· 执行系统分析、设计、构建、验证和持续维护Resolute HB 收入守护者规则和工作队列(WQs)。
· 配置、维护和优化Epic收入守护者规则、账户和收费审核工作队列以及对账流程。

  • 分析并解决收入守护者警报、异常和系统生成的收费问题。
  • 设计并实施自动化控制措施,以提高收费准确性并减少收入流失。
  • 监控收入守护者性能,并持续优化业务规则以改善结果。
  • 与收入周期系统分析师合作部署升级、增强和系统变更。

问题解决
· 识别遗漏、错误、重复或延迟收费的趋势,并推荐纠正措施。

  • 与分析师合作调查问题,确定是否需要解决,如需则向上级汇报。
  • 沟通问题进展和解决情况。
  • 完整记录决策结果。
  • 及时解决工作队列(WQs)问题,并关注根本原因解决,防止持续的收费延迟问题。

数据分析与报告
· 分析大数据集以识别操作趋势、财务风险和改进机会。

  • 向领导、收入周期分析师、各部门和其他利益相关者汇报发现和建议。
  • 使用各种Epic系统工具和报告监控生产率、收费延迟和数量。识别并帮助防止收费捕获的积压和其他障碍。每天监控收费审核工作队列,前瞻性地识别问题、潜在积压,并采取必要步骤减轻影响。

协作与支持
· 与临床区域协同工作

查看英文原文

Department Overview
The Hospital Sr Revenue Cycle Analyst is responsible for the implementation, optimization, monitoring, and ongoing maintenance of Epic Revenue Guardian functionality to support compliant charge capture, revenue integrity, and reimbursement optimization across OHSU and its affiliates. This role serves as the primary subject matter expert for HB Epic Revenue Guardian and works collaboratively with the Revenue Cycle Team, Clinical Operations, Patient Financial Services, Coding, Compliance, Clinical Informatics, and Information Technology teams to identify revenue leakage, mitigate billing risks, and improve revenue cycle performance.
Function/Duties of Position
HB EPIC Revenue Guardian Analysis, Design & Development
· Perform system analysis, design, build, validation and ongoing maintenance of the Resolute HB Revenue Guardian Rules and WQs.
· Configure, maintain, and optimize Epic Revenue Guardian rules, account and charge review work queues, and reconciliation processes.

  • Analyze and resolve Revenue Guardian alerts, exceptions, and system-generated charge issues.
  • Design and implement automated controls to improve charge capture accuracy and reduce revenue leakage.
  • Monitor Revenue Guardian performance and continuously refine business rules to improve outcomes.
  • Collaborate with Revenue Cycle system analysts to deploy upgrades, enhancements, and system changes.

Problem Resolution

  • Identify trends in missed, incorrect, duplicate, or delayed charges and recommend corrective actions.
  • Work with analysts to investigate problems to determine if it is necessary to resolve, if needed, escalate it to leadership.
  • Communicate problem progress and resolution.
  • Thorough documentation of decision outcomes.
  • Timely resolution of WQs and attention to root cause resolution to prevent ongoing charge lag issues.

Data Analysis and Reporting

  • Analyze large datasets to identify operational trends, financial risks, and improvement opportunities.
  • Present findings and recommendations to leadership, revenue cycle analysts, departments, and other stakeholders.
  • Monitor productivity, charge lag and volume using various Epic system tools and reports. Identifies and helps prevent backlogs and other impediments to charge capture. Monitors charge review work queues daily to prospectively identify problems, potential backlogs and take the necessary steps to mitigate impact.

Collaboration & Support

  • Work collaboratively with clinical areas, Financial Services, Health Information Services, Information Technology Group, and Charge Master Analysts to identify and resolve charging issues and revenue opportunities when applicable.
  • Provide training/mentor assistance to lower-level analysts
  • Serve as a member of the Revenue Cycle Team. Promote a customer service focus.
  • Demonstrate cooperation, adaptability, flexibility, effective communication and dependability in supporting team goals.
  • Participate in Revenue Cycle projects as directed by Revenue Integrity Assistant Director and Director.
  • Other duties as assigned.

Certification and Continued Professional Development

  • Epic certification in a Revenue Cycle Application (HB Resolute) within one year. Maintain EPIC Certification one achieved.
  • Participate in appropriate activities that enhance general knowledge of or ability to do assigned work. This includes but is not limited to the following:
  • Attend classes, seminars and other training forums as directed by supervisor;
  • Attend staff meetings and other informational sessions; read vendor documentation, trade publications or other sources appropriate to position;
  • Interact with peers and other employees to receive and disseminate information.

Required Qualifications

  • Master’s degree in computer science, a related field, or a clinical field & 4 years' work related experience in the IT field or a combination of clinical or operational healthcare environments; OR
  • Bachelor’s degree in computer science, a related field, or a clinical field & 6 years' work related experience in the IT field or a combination of clinical or operational healthcare environments; OR
  • Associate’s degree in computer science, a related field, or a clinical field & 7 years' work related experience in the IT field or a combination of clinical or operational healthcare environments; OR
  • 8 years' work related experience in the IT field or a combination of clinical or operational healthcare environments; OR
  • Equivalent combination of education and applicable experience where one year of experience will be substituted for an Associate’s degree and two years of experience will be substituted for a Bachelor’s degree.
  • Extensive knowledge of CPT-4, HCPCS, ICD-10 and Revenue coding.
  • UB04 form requirements.
  • Verifiable knowledge of the Outpatient Prospective Payment System.
  • Epic Certification in Revenue Cycle application (Resolute HB) within six months, and
  • evidence of continuing education.

Preferred Qualifications

  • Experience implementing an Integrated Enterprise Hospital System (Admitting, Scheduling, Billing, CPOE, Documentation, etc) preferably Epic.
  • Experience implementing technology that promoted fundamental changes in hospital settings.
  • Working knowledge and understanding of project coordination and management.
  • Working knowledge of content areas (i.e. Admitting, Hospital Billing, Registration, Scheduling, Nursing, etc.)
  • Ability to function effectively in a very dynamic team environment.
  • Ability to proactively pursue problem resolution to satisfy customer needs.
  • Ability to proactively discover/test/analyze new Epic application enhancements/features independently.
  • Ability to provide highly critical quality analysis and testing of new software applications or feature (including beta testing).
  • Ability to manage multiple complex tasks efficiently while successfully meeting assigned deadlines.
  • Ability to work with users to accurately assess and diagnose system problems as defined by the user.
  • Working knowledge of hospital operations and the patient care process.
  • Working knowledge of Epic application(s).
  • EPIC Revenue Guardian Knowledge.

Additional Details
Benefits

  • Healthcare for full-time employees covered 100% and 88% for dependents.
  • $50K of term life insurance provided at no cost to the employee.
  • Two separate above market pension plans to choose from.
  • Vacation - up to 200 hours per year dependent on length of service.
  • Sick Leave - up to 96 hours per year.
  • 9 paid holidays per year.
  • Substantial Tri-Met and C-Tran discounts.
  • Employee Assistance Program.
  • Childcare service discounts.
  • Tuition reimbursement.
  • Employee discounts to local and national businesses.

Why apply to OHSU?
We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact Originally posted on Himalayas

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