Senior Financial Analyst- Pediatrics
Indexed description
This position is eligible for remote work. Remote work must be performed at a location within the state of Iowa and comply with the remote work program and related policies.
Financial Oversight, Reporting & Analysis
Incentive Plan Administration
- Create, validate, and disseminate incentive plan reports.
- Track RVUs across providers.
- Manage penalty tracking including Charge Lag, Documentation Deficiency, Bumped Clinic, Compliance, and DRG (CDI) Queries.
- Respond to ad hoc report requests from providers and executive leadership
- Assist the Finance Manager with annual budget preparation and salary posting
- Complete mandatory reconciliations and report following pre-established processes.
- Assess variance reports on revenue, expense, and other statistical measures. Prepare highly specialized reports as requested.
- Perform complex financial and statistical analysis utilizing expert knowledge of financial systems.
- Utilize decision support/data warehouse systems to develop proforma and business analysis for programmatic and strategic initiatives.
- Participate in monthly cross‑department meetings and act as a liaison for denials, appeals, payer relations, and coding inquiries.
- Address unresolved patient billing questions and manage patient follow‑up communications.
- Manage CARTS ad hoc requests and oversee Pre‑Service CARTS workflows.
- Provide coding support to providers, including guidance on new services, workflow questions, and chargemaster inquiries.
- Act as the HCIS build contact for new services, ensuring accurate charge capture and system configuration.
- Maintain and update the Formula Orders Spreadsheet, including pricing and documentation accuracy.
- Serve as the primary contact for PCD/PFS questions related to metabolic formula processes and Charity Care considerations.
- Manage new bill area setup, provider/APP bill area requests, and Allowed Services reviews.
- Coordinate bill area mapping for revenue across divisions.
- Serve as the liaison for Provider Credentialing with CSO, PCD, and HR, validating new provider taxonomy and Medicare assignments.
- Advise and guide divisions within department on compliance requirements related to billing, coding, and revenue cycle processes, ensuring adherence to organizational policies, regulatory standards, and applicable laws.
- Deliver best‑practice training to staff and support ongoing education related to revenue cycle processes.
- Recommend and assist in developing training solutions that improve the accuracy, efficiency, and effectiveness of financial transactions, billing practices, and coding processes.
- Advise departmental leadership on appropriate financial controls and compliance requirements related to billing, coding, and revenue cycle operations.
- May provide functional and or administrative supervision (direction, assignments, feedback, coaching and counseling) to assure outcomes are achieved.
- Assist in coordination/preparation of analysis for strategic plans in support of DEO/ administrator.
- Bachelor’s degree in business administration/accounting/finance/management information system, or an equivalent combination of education and experience.
- Knowledge of medical coding and revenue cycle processes (CPT/ICD codes, chargemaster, payer billing workflows).
- Minimum of three years’ experience in finance and or an accounting related field.
- Advanced Excel skills including Pivot tables, VLookup, Sumifs.
- Demonstrated experience with database queries or computer programing.
- Demonstrated excellent verbal and written communication and interpersonal skills.
- Experience with medical coding and revenue cycle processes.
- Experience with healthcare billing systems (HCIS, Epic, or similar).
- Resume
- Cover Letter
Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process.
For additional questions, please contact [email protected]
This position is not eligible for University sponsorship for employment authorization.
Additional Information
- Classification Title: Senior Financial Analyst
- Appointment Type: Professional and Scientific
- Schedule: Full-time
- Work Modality Options: Remote within Iowa
- Pay Level: 4B
- Organization: Healthcare
- Contact Name: Natasha Johnson
- Contact Email: [email protected]
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