The UI Stead Family Department of Pediatrics is seeking a full-time Revenue Integrity and Performance Analyst. This role serves as a key operational leader within the department, providing strategic and operational support for clinical systems, revenue optimization, coding compliance, data analytics, and records management.
The position acts as the departmental subject matter expert for EPIC workflows, provider onboarding and training, coding and billing operations, and performance reporting. Working closely with departmental leadership, physicians, advanced practice providers, hospital operational teams, central revenue cycle departments, health information management, information technology, and analytics teams, this role supports efficient clinical operations, accurate revenue capture, data-driven decision making, and regulatory compliance.
Core responsibilities
- Serve as the primary departmental resource for coding, billing, documentation, and charge capture inquiries.
- Analyze coding and billing trends to identify revenue enhancement opportunities and operational inefficiencies.
- Partner with coding, billing, compliance, finance, and revenue cycle teams to ensure accurate and compliant coding practices.
- Monitor provider coding patterns, documentation quality, and reimbursement performance.
- Support coding education initiatives and provider feedback programs.
- Evaluate denials, claim edits, payer trends, and reimbursement issues to identify corrective actions.
- Develop recommendations for improving clinical documentation and optimizing revenue capture.
- Assist leadership with monitoring productivity measures such as wRVUs, charges, collections, and reimbursement metrics.
- Serve as the department’s administrative lead for EPIC-related activities, including onboarding, training, access requests, template configuration, and workflow optimization.
- Troubleshoot EPIC-related issues and coordinate resolution with institutional teams.
- Develop and maintain departmental training resources and operational guidance documentation.
- Develop, maintain, and analyze operational and financial dashboards using Power BI and other reporting tools.
- Generate routine and ad hoc reports to support leadership decision making.
- Track and report key performance indicators related to revenue, collections, productivity, volumes, utilization, and patient satisfaction.
- Provide direct oversight of the Records Management team in collaboration with the Records Management Supervisor.
- Improve workflows, service delivery, and compliance through process improvement initiatives.
- Serve as an advisor to departmental leadership on operational, revenue cycle, and analytics initiatives.
- Lead or participate in projects related to clinical operations, technology optimization, performance improvement, and revenue enhancement.
Work arrangement
- Hybrid work model within Iowa
- Remote work must be performed from an offsite location within the state of Iowa
- Bachelor's degree in Healthcare Administration, Business Administration, Health Information Management, Public Health, Finance, Analytics, or a related field.
- 3+ years of progressively responsible experience in healthcare operations, revenue cycle management, coding, analytics, or clinical administration.
- Experience working in an academic medical center, physician practice, hospital, or healthcare organization.
- Experience supporting EPIC workflows and provider operations.
- Experience creating reports and dashboards using business intelligence tools.
- Desired: Master's degree in a related field such as MHA, MBA, MPH, or Health Informatics.
- Desired: CPC, CCS, CPMA, or similar certification.
- Desired: EPIC certification or significant EPIC operational experience.
- Desired: Lean, Six Sigma, or process improvement experience.
Location
Iowa, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
2 weeks ago