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As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500023 Financial Services SMH

Work Shift:

UR - Day (United States of America)

Range:

UR URCB 210 H

Compensation Range:

$26.66 - $34.66

_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._

Responsibilities:

GENERAL PURPOSE

Under general direction and with significant latitude for the exercise of independent judgment and initiative, serves as the Revenue Integrity Analyst for SMH, HH, and Affiliates.

SUPERVISION AND REPORTING:

+ Reports to the Manager of Revenue Integrity Analysis; works in concert with SMH Finance, hospital and faculty-based programs, on and offsite.

+ Receives Direction from the Manager of Revenue Integrity Analysis for priorities in project management, development of reports and analysis and the evaluation of systems/process

ESSENTIAL FUNCTIONS

Under general direction and with considerable latitude for use of independent judgment, serves as an analyst agent for Revenue Integrity. Typical responsibilities include the following as well as related duties:

Finance/Analysis

+ Monitors compliance of revenue integrity initiatives on an ongoing basis. Identifies and reports on variances for items such as charge budgets, timeliness of charge entry, closing of open encounters, etc. for explanations and/or corrective actions.

+ Identifies variances in revenue by department and follows up with department administrators for explanations and/or corrective action across SMH, HH, MFG and affiliates.

+ The Revenue Integrity Analyst works collaboratively with leadership to assist in the development and implementation of process improvement to enhance charge accuracy and reimbursement

+ Develops and updates reports for revenue integrity for distribution to senior leadership and department administrators. Insures that reporting meets needs of senior leadership and department administrators.

+ This position also works closely with Information Systems Division (ISD) to complete and test charge related build by having a clear understanding of the charging workflows and triggers built within the Epic.

+ Continue to update reports weekly to help identify variance concerns proactively.

+ Assist in identifying gaps in EPIC reporting and mapping through interactions with department representatives, finance staff, revenue integrity facilitators and ISD personnel.

+ Through specialized reporting/analysis and utilizing several reporting applications identifies gaps in current processes and potential EPIC build issues.

+ Performs in depth analysis of revenue impact for hospital conversion programs to assist senior leadership with decision making.

+ Collaborates with Patient Financial Services on revenue cycle initiatives including but not limited to reducing charging delays/errors, establishing charges for new hospital programs and improving revenue collection.

+ Actively participate in and seeks out projects to help with the implementation of new workflows clinical and non-clinical

+ Through data collection and analysis directs changes to improve operational processes.

+ Present best practices to other areas based on historical findings and trending analysis where applicable.

+ Educates departments on procedures, tools, benchmarks, reports, etc. regarding revenue integrity and charge reconciliation.

+ Performs other duties as assigned by Operations and Finance Director for Hospital Revenue Cycle and Director Patient Accounts.

Pricing/Fee Schedule(s):

+ Provides assistance in the completion of the annual pricing review. This includes preparing the fee schedule files with price changes for import into Epic

+ Completes market and internal analysis in order to price out new charge code requests for the region based upon expansion of services provided

+ Assists with the annual hospital price increase analysis and management/updates of the CDM.

+ Continuously monitor and update pricing, work queues and thresholds within the epic system.

Institutional / Departmental

+ Represent Revenue Integrity at hospital and departmental meetings where requested or instructed.

+ Problem solve / follow-up on issues presented at governance meetings or other ad hoc meetings where in-depth data analysis is required.

+ Works with areas to facilitate achievement of work redesign as appropriate.

+ Participate in weekly Revenue Integrity meetings representing Revenue Integrity analytics, presents trending data to assist Revenue Integrity facilitators in identifying issues.

+ Act as the liaison between Finance and revenue generating departments to ensure accurate charging practices while simultaneously ensuring appropriate charging and reimbursement.

Other as required.

MINIMUM EDUCATION & EXPERIENCE

+ Bachelor's degree in Accounting, Business Administration or related field, 2 years of related experienceRequired

+ Or an equivalent combination of education and experienceRequired

+ Master’s Degree or Masters in progress Preferred

+ ​Hospital or professional reimbursement, charge capture, fee schedules and charge master experience Preferred

KNOWLEDGE, SKILLS AND ABILITIES

+ Knowledge of Excel Preferred

+ Working knowledge of CPT & HCPCS Preferred

+ Excellent knowledge of Excel and SQL queries Preferred

LICENSES AND CERTIFICATIONS

+ Completion of EPIC Certification within 1 year

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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Learn. Discover. Heal. Create.

Located in western New York, Rochester is our namesake and our home. One of the world’s leading research universities, Rochester has a long tradition of breaking boundaries—always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.

If you’re looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals

At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better—Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.