University of Miami
Business Systems Analyst 3 - Revenue Integrity
University of Miami, Miami, Florida, us, 33222
Overview
Business Systems Analyst 3 - Revenue Integrity
at University of Miami. This full-time role supports the financial health of the organization by ensuring accurate, compliant, and complete charge capture and billing processes. The analyst collaborates with clinical departments, coding teams, IT, and compliance to monitor revenue cycle performance, resolve discrepancies, and implement best practices in charge capture and reimbursement. Responsibilities
Working under the direction of the Director of Revenue Integrity Systems, the analyst collaborates with clinical departments, coding teams, IT, and compliance to monitor revenue cycle performance, resolve discrepancies, and implement best practices in charge capture and reimbursement. This position plays a pivotal role in ensuring revenue integrity through: trend reporting and claims analysis, development of payor scorecards, Charge Description Master (CDM) reviews, including impact analysis on all charge, revenue, and CPT code changes, and financial modeling to drive revenue improvement. Staying current with industry trends and emerging technologies is essential to support strategic goals. Charge Capture & Revenue Analysis
Review clinical documentation and charge data to ensure accurate and complete billing. Identify trends in missed charges, denials, and underpayments. Conduct root cause analysis and recommend corrective actions. System & Workflow Support
Assist in testing and validating revenue cycle system changes and upgrades. Collaborate across IT and operational teams to improve charge capture workflows. Support implementation of automation tools and reporting dashboards. Provide education and feedback to clinical and operational teams on charge capture best practices. Compliance & Documentation
Ensure adherence to payer guidelines, coding standards, and regulatory requirements. Participate in internal audits and support external audit responses. Maintain documentation of findings, recommendations, and resolutions. Reporting & Insights
Generate and analyze reports on revenue integrity KPIs. Present findings to leadership and operational teams. Support data-driven decision-making and performance improvement initiatives. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS
Bachelor's degree in relevant field Certification in Revenue Integrity required (e.g., CRCR, CHRI, CPC, CPMA). Epic Resolute - Certification or Proficiency preferred Minimum 5 years of relevant experience, 3+ years of experience in revenue cycle management (billing, coding, or financial analysis) preferred Understanding of healthcare billing, coding (CPT, ICD-10, HCPCS), charge capture, and reimbursement methodologies. preferred Experience with major EHR and revenue cycle platforms (e.g., Epic, Cerner) preferred Familiar with state-of-the-art, industry-specific technology and solutions Analytical thinking and attention to detail Demonstrated knowledge of project management and change control Proficiency with Microsoft Office Suite programs, Excel (pivot tables), Visio, Project, PowerPoint, Word. Knowledge of operational healthcare, hospital and/or ambulatory and inpatient workflows and medical terminology. Ability to communicate ideas and problem solutions Ability to effectively work with people in other departments and/or outside of the enterprise. Excellent interpersonal skills Outstanding oral and written communication skills Works well independently or as part of a team Any appropriate combination of relevant education, experience and/or certifications may be considered. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: H12 Job Details
Seniority level: Mid-Senior level Employment type: Full-time Job function: Information Technology Industries: Higher Education
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Business Systems Analyst 3 - Revenue Integrity
at University of Miami. This full-time role supports the financial health of the organization by ensuring accurate, compliant, and complete charge capture and billing processes. The analyst collaborates with clinical departments, coding teams, IT, and compliance to monitor revenue cycle performance, resolve discrepancies, and implement best practices in charge capture and reimbursement. Responsibilities
Working under the direction of the Director of Revenue Integrity Systems, the analyst collaborates with clinical departments, coding teams, IT, and compliance to monitor revenue cycle performance, resolve discrepancies, and implement best practices in charge capture and reimbursement. This position plays a pivotal role in ensuring revenue integrity through: trend reporting and claims analysis, development of payor scorecards, Charge Description Master (CDM) reviews, including impact analysis on all charge, revenue, and CPT code changes, and financial modeling to drive revenue improvement. Staying current with industry trends and emerging technologies is essential to support strategic goals. Charge Capture & Revenue Analysis
Review clinical documentation and charge data to ensure accurate and complete billing. Identify trends in missed charges, denials, and underpayments. Conduct root cause analysis and recommend corrective actions. System & Workflow Support
Assist in testing and validating revenue cycle system changes and upgrades. Collaborate across IT and operational teams to improve charge capture workflows. Support implementation of automation tools and reporting dashboards. Provide education and feedback to clinical and operational teams on charge capture best practices. Compliance & Documentation
Ensure adherence to payer guidelines, coding standards, and regulatory requirements. Participate in internal audits and support external audit responses. Maintain documentation of findings, recommendations, and resolutions. Reporting & Insights
Generate and analyze reports on revenue integrity KPIs. Present findings to leadership and operational teams. Support data-driven decision-making and performance improvement initiatives. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS
Bachelor's degree in relevant field Certification in Revenue Integrity required (e.g., CRCR, CHRI, CPC, CPMA). Epic Resolute - Certification or Proficiency preferred Minimum 5 years of relevant experience, 3+ years of experience in revenue cycle management (billing, coding, or financial analysis) preferred Understanding of healthcare billing, coding (CPT, ICD-10, HCPCS), charge capture, and reimbursement methodologies. preferred Experience with major EHR and revenue cycle platforms (e.g., Epic, Cerner) preferred Familiar with state-of-the-art, industry-specific technology and solutions Analytical thinking and attention to detail Demonstrated knowledge of project management and change control Proficiency with Microsoft Office Suite programs, Excel (pivot tables), Visio, Project, PowerPoint, Word. Knowledge of operational healthcare, hospital and/or ambulatory and inpatient workflows and medical terminology. Ability to communicate ideas and problem solutions Ability to effectively work with people in other departments and/or outside of the enterprise. Excellent interpersonal skills Outstanding oral and written communication skills Works well independently or as part of a team Any appropriate combination of relevant education, experience and/or certifications may be considered. The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: H12 Job Details
Seniority level: Mid-Senior level Employment type: Full-time Job function: Information Technology Industries: Higher Education
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