Duke University Health System

Oversee projects and process improvements within the PB Coding division, analyze data for performance enhancement, and utilize reporting tools to identify revenue opportunities. | Bachelor's degree in business or health-related field, 5+ years of experience in performance/process improvement, proficiency with data analysis and reporting tools, healthcare or revenue cycle knowledge preferred. | At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. Duke Nursing Highlights • Duke University Health System is designated as a Magnet organization • Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. • Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. • Duke University Health System has 6000 + registered nurses • Quality of Life: Living in the Triangle! • Relocation Assistance (based on eligibility) REMOTE POSITION: Monday - Friday (First Shift) General Description Of The Job Class Reporting to the Director of PB Coding, the Strategic Services Associate holds primary responsibility for overseeing all projects and process improvement initiatives, and reporting needs within the PB Coding division and those intersecting with the PB Coding division from other revenue cycle or clinical service areas. The PB Coding division includes projects and initiatives in which the director is directly involved and/or those with the various PB Coding teams. Duties and Responsibilities of this Level: Serve as principal project manager for PB Coding division initiatives and projects to include meetings, documentation, minutes, and development of project plan. Organize and lead committee meetings across DUHS, PRMO, DHIP, DPC, as they relate to PB Coding division interests and projects. (35%) Serve as an expert resource on performance improvement and compliance as it relates to organizational role. Plan activities aimed at improving the hospital's performance in operations or clinical quality. Identify opportunities for improved performance. Analyze data to identify adverse trends and/or undesirable performance. Utilize performance improvement techniques and methodologies. Assist director in establishing and measuring performance targets. Design and implement strategies for enhancing performance. (30%) Utilize Epic reporting tools to identify opportunities for improved performance and revenue capture such as slicer dicer and business objects to research and investigate problems, and ability to download, analyze and synthesize information, creating professional reporting excel, power BI or power point outputs. (30%) Perform other duties, responsibilities, and activities as assigned at any time to meet DUHS demands (5%) Required Qualifications At This Level Education: Bachelor's degree in business or health-related field is required. Master's degree and Epic certification/proficiency is highly desired. Experience: Minimum of 5 years work experience, including 3 years of experience with significant responsibility for performance/ process improvement. Experience leading work teams required. Experience can be supplemented with Master's degree with a Masters being equivalent to two years of experience. Degrees, Licensure, and/or Certification: Coding Certification a plus. Epic revenue cycle certification/proficiency not required but desired. PMP certification a plus. Knowledge, Skills, And Abilities Knowledge of revenue cycle and revenue integrity. Ability and desire to maintain a strong business professional presence both virtually and in-person. Possesses and applies knowledge of healthcare clinical and administrative systems and processes to achieve organizational priorities. Possesses intermediate to expert knowledge and proficiency with Microsoft Office applications including Word, Excel, Projects, Teams, PowerPoint, and Outlook. Ability to analyze healthcare data is required. Knowledge of Power Automate and Power BI is a plus. Experience with Epic reporting systems; business objects, slicer dicer, Power BI preferred. Must be able to create excel reporting charts, graphs, perform VLookUps and write other excel functions to achieve desired reporting. Ability to use creativity to create power point presentations to display information pertinent and meaningful to the planned audience. Knowledge of hospital/technical and/or professional services reimbursement systems (IPPS, OPPS, Pass-Through, 340B, DRGs, Case Rate/Groupers, APCs, wRVUs and pricing methodologies) desired. Ability to problem solve; compile, synthesize, analyze and evaluate complex data and reports to influence solutions. Ability to manage numerous, diverse projects simultaneously through effective priority setting, organization, and time management. Excellent written and verbal communication skills. Distinguishing Characteristics of this LevelThe intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any position. Employees may be directed to perform job-related tasks other than those specifically presented in this description. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Support revenue cycle processes, optimize workflows, develop reports, and act as a liaison between operations, performance improvement, and IT. | Minimum 7 years of experience in system design, process workflow, or business consulting, with strong analytical skills and healthcare revenue cycle knowledge; Bachelor's degree required. | At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Business Process Consultant who will embrace our mission of Advancing Health Together. The Business Process Consultant supports revenue cycle processes that span multiple departments, multiple workflows and systems or supports analytic efforts of the revenue cycle through report development, data quality assurance, and analysis. The position also supports business process improvement efforts including projects to enhance automation, quality, and efficiency through report writing, analysis, business case development and data validation Work Performed Revenue Process Support, Workflows and Systems • Develop and maintain written documentation for processes that exist between departments, systems, external vendors and payers. • Act as a high level business process consultant between operations, performance improvement and IT for needs that cross boundaries. • Implement processes and practices that can adapt quickly to changing organization, business, and payer demands. The position does not replace normal relationships between various departments but rather acts as a compliment to existing relationships to enhance and expedite performance improvement activities. • Reviews business process, system or other changes that might impact existing workflows and recommends methods to optimize to desired state and improve efficiency. • Review system or process architecture in scope of assigned projects. • Perform business impact reviews of test plans that span across departments, workflows or systems or to assess impact, efficiency and effectiveness. • Create, optimize and support implementation of processes which link closely to system work flows. Determine how these work flows will impact existing staffing, how to continuously refresh and monitor these flows and recommend optimal change management processes. • Communicate information clearly and create an environment where people can engage in open dialogue and reach effective solutions together to optimize workflow or process. • Direct cross-functional teams to resolve complex issues related to automated workflows or other complex processes or lead discussions with the business and operational leaders to analyze reporting needs, configure and model data and develop reports using specialized knowledge of reporting applications and software applications. Data Reporting and Analysis • Responsible for creating and managing the financial and operational reports generated on regular and an ad hoc basis using software applications for report writing and data warehousing; provides consultation and assistance to ensure end users and operational reporting needs are met through report development and design. • Primary liaison to various internal and external user groups within PRMO and Duke in terms of revenue cycle data reporting and analysis. • Assist PRMO or DHIP Senior leadership, management and staff in analyzing, interpreting, and presenting data and information to various parties both internal and external to DUHS • Develop and build reporting solutions that monitor and benchmark cost, utilization and other quality and performance indicators; Act as primary support to senior leadership in accessing relevant data necessary to develop strategic and operational business plans, and process improvements. • Develop business case analysis to support process optimization and change. • Perform troubleshooting, problem solving activities related to business intelligence reporting as necessary. Analyze data and reports to understand business impact, correlations/discrepancies, and to propose changes/alternate solutions. Work closely with the Information Technology teams to resolve issues, and perform analysis in a timely manner. Minimum Qualifications Education Experience Bachelor's degree required. Master's degree preferred Extensive knowledge of work flow and/or system design is required. Minimum of 7 years of experience with system design, process work flow design or business/systems consulting. Revenue cycle experience preferred. Extensive knowledge of analytical tools, business intelligence tools and statistical packages. Degrees, Licensures, Certifications Lean or Six Sigma certification a plus but not required. Knowledge, Skills And Abilities Strong analytical and communication skills. Strong computer skills to include database analysis. Statistical software experiences a plus. Level Characteristics Strong analytical and communication skills. Strong computer skills to include database analysis. Statistical software experiences a plus. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.