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Overview

The Performance Integrity Innovation Analyst (PI Innovation Analyst) is responsible for a thorough understanding of software system configuration and requirements specific to each core Revenue Cycle Management function in order to act as first line support, trouble shoot, monitor and support improved utilization of the system. The PI Innovation Analyst will lead the development of requirements specific to changes and updates to system process and operations. The PI Innovation analyst will be responsible for maintaining a clear outline and visuals of current system set up, proactively investigate best practices and delivering recommendations on configurations needs. The PI Innovation analyst will draft requirements and rules for system enhancement requests, finalizing testing of system development, managing appropriate implementation into production and ultimately the follow up to confirm the rules are providing outputs. 

The PI Innovation Analyst is also responsible for engaging with the Information Technology applications team to manage pre-upgrade review of enhancements and testing appropriate scripts to assure maximum system performance. It is expected that the PI Innovation Analyst will communicate upgrade changes, engage teams in understanding impact of options, partnering with teams and IT to test, train and activate successful delivery. Effective oral and written communication regarding system changes including defining training needs are met are essential to performing in the role effectively. 

In addition to the above job responsibilities, the PI Innovation Analyst will also work without Automation Excellence team and maintain front line support for automation scripts, maintain scheduling and troubleshooting issues with robotic process automation, and assure routine processing of RPA.

Responsibilities/Job Description

  • Partner with RCM Operational leaders to define system enhancements and outline criteria for requesting system changes, test changes with IT, and finalize production process
  • Actively work on maintaining the integrity of assigned RCM module system by monitoring statistics and utilization metrics to identify, research and recommend improvements
  • Create system design documents, including systems models, specifications, diagrams, and charts as needed to inform operations of system design
  • Perform in-depth testing, including end-user reviews, for changes requested to the system. Provide implementation support and post implementation analysis of performance.
  • Provide system support and testing to EPIC upgrades and document system changes that would require operational input
  • Prioritize system enhancement requests and maintain prioritization between IT and RCM Operations leaders
  • Partner with staff from other infrastructure and operational areas to assess best practices proactively and recommend system specific process improvements
  • Build and maintain strong working relationships with staff from Information Technology and operational areas, as well as staff from various outside partners, including payers, vendors, and consultants.
  • Monitors and remains current with system updates and capabilities to provide better service support and advisory services related to system optimization.
  • Conducts research as needed to investigate requirements and changes to improve workflow and outcomes.
  • Provide production troubleshooting support to the operations. This includes researching issues/problems within areas of responsibility and recommend innovative solutions to prevent recurrence.
  • Maintain integrity of activated robotic process automation scripts including scheduling, troubleshooting issues and ensuring accuracy of script work management

Organization Expectations, as applicable:

  • Consistently demonstrates the ability embrace and model M Health Fairview commitments
  • Excellent time management and organizational skills with demonstrated ability to balance multiple priorities
  • Ability to create strong collaborative partnerships and influence others across teams, groups and business boundaries to achieve real world problem solving
  • Demonstrated ability to translate user requirements into system specifications
  • Strong analytical and critical thinking skills
  • Initiate judgment, make decisions and work autonomously under a minimal amount of supervision, to balance multiple tasks, be detail oriented, set priorities and complete assignments in a timely manner
  • Knowledge of government and commercial payer requirements for accurate and compliant healthcare charging and billing
  • Ability to access and interpret regulatory publications
  • Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting)
  • Ability to present to small and large groups
  • Consistent demonstration of excellent written and verbal communication skills
  • Proficiency in Microsoft Office: Word, Excel, Power-Point, Visio, Teams, SharePoint and Outlook.

Qualifications

Required

Education

Bachelor’s degree in Statistics, Finance, Data Science, Business Administration, Health Care Administration or related area or an equivalent combination of education and experience, minimum 6 years.

Experience

  • 3 years experience in healthcare reimbursement, financial management or coding
  • 3 years’ experience working within the EPIC Revenue Cycle Management modules (Prelude, Cadence, Resolute or HIM) OR similar RCM software configuration and design.
  • 3 years’ experience working with Revenue Cycle Management operations processing.
  • Demonstrated logical, analytical, and creative problem-solving skills.
  • Demonstrated written and oral communication skills, including the ability to communicate ideas in both technical and business terms.
  • Ability to conduct research into systems issues and products as required.
  • Advanced PC skills in Excel, Word, Access, and EPIC.

Preferred

Education

  • Advanced degree in Statistics, Finance, Data Science, Business Administration, Healthcare Administration or related field

Experience

  • Five or more years of experience in Health System Revenue Cycle, Information Technology, or Analytics professional level role.
  • Advanced PC skills in Microsoft Power BI
  • Experience leading work-groups
  • Experience presenting to leaders

License/Certification/Registration

  • EPIC HB and/or PB Resolute proven proficiency and/or certification
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Confirmed 13 hours ago. Posted 7 days ago.

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