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Business Analyst

Universal Health Services


Location:
KING OF PRSIA, PA
Date:
09/21/2017
2017-09-212017-10-21
Job Code:
240661
Categories:
  • Healthcare
  • Clinical Specialist
Universal Health Services
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Job Details





Business Analyst

Job Code:  240661
Facility: Independence Shared Services
Location: KING OF PRUSSIA, PA US Mid-Atlantic
Region: Mid-Atlantic
Travel Involved: 0-10%
Job Type: Full Time
Job Level: 
Minimum Education Required: Associate Degree 
Skills:  
Category: Professionals
FTE: 1
Position Summary:

The Business Analyst supports the IPM Corporate Revenue Cycle and Operations team by providing daily and ad-hoc report extracts and analysis of data pertinent to identifying gaps in process that negatively impact revenue and the overall cost of doing business. Handles all routine and ad-hoc report requests from IPM Corporate Leadership and an efficient and accurate manner. Provides analysis regarding charges, collections and coding by provider, IPM Market and summary IPM data to help identify trends and research issues related to coding, reimbursement, billing, contracting and overall process. The Business Analyst is responsible for taking large sets of, often complex data and summarizing the information to draw meaningful business conclusions that help IPM Leadership identify areas for improvement. Analyzes clinical information derived from the EMR(s) to assist with identifying gaps in workflow. Helps to manage the process of requested EMR/PMS system enhancements and “fixes” to ensure that system issues are being investigated and resolved in a timely manner. Maintains the monthly practice “scorecard” report showing various “front-end” metrics and results by IPM Market. Assists with PQRS, MU, VBM, MIPS and other payor incentive programs to help maximize results and subsequent revenue. Assists with IPM proformas and other related IPM benchmark reporting.

Education: A minimum 2 year Associate Degree in business, healthcare or computer science. Bachelor’s degree preferred.

Work experience: Healthcare related experience at an insurer (in a claims, IT or related operations team). Healthcare provider network working in a billing, finance or IT related department and responsible for report writing and subsequent analysis.

Knowledge: Knowledge of billing/revenue cycle processes, Medicare, Medicaid and commercial reimbursement strategies, broad knowledge of CPT and DX billing codes, EMR processes.

Skills: Microsoft Excel (advanced), Word, Access (intermediate), Visio and other related software. Knowledge and practical use of healthcare business intelligence (BI) tools. Experience with Cerner software highly desirable.

Abilities: Excellent verbal and written communication. Strong analytical abilities. Demonstrated aptitude for quantitative analysis and attention to detail. Ability to work independently and interact with coworkers in a professional and helpful manner.

 
Requirements

1. Extract data from pertinent systems based on various business needs and formatting the data in a meaningful and useful format. Ensuring that data is credible and reflective of the specific request.

2. Summarize data in terms of context to help arrive at meaningful conclusions based on the data presented. When the data in inconclusive, research alternate opportunities to look at additional data to help substantiate current results and to isolate opportunities for improvement.

3. Analyze data from multiple sources and outline conclusions and recommendations for changes in process or opportunities to improve performance in terms of revenue cycle or operational tasks.

4. Handle assigned Corporate reports that are produced and trended on a periodic basis that helps Corporate Leadership maintain a pulse on the current business. Summarize data as needed to provide context to the results.

5. Track, trend and monitor requested “fixes” to the existing EMR/PMS software. Escalate issues, as appropriate, when items are not resolved in a reasonable timeframe.

6. Assist with PQRS, MU and other payor based incentive programs to track, trend and monitor performance.

7. Other duties as assigned.


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