"Revenue Cycle Auditor (5032)"

The PBS Auditor will perform reviews for newly hired and seasoned PBS employees in all departments. Audits will include, but not limited to, productivity, quality and departmental/role specific expectations. The PBS Auditor will also provide feedback relating to departmental/role specific productivity and quality. The incumbent for this position will utilize a high level of in-depth knowledge of each role to perform all audits based on each department's need.

PBS Auditor 100%

• Conduct quality and productivity reviews of departmental colleagues using structured and consistent review programs and methods.
• Demonstrate in-depth knowledge and experience with SIU-HC supported applications, including but not limited to Athena IDX, TouchWorks, Epic, Cerner and Precision BI
• Must possess the ability to understand the integration of applications and their impact on business processes and operations.
• Provide on-site guidance and assistance to end users as necessary.
• Review, develop and update timely review and feedback methods and materials
• Maintain effective communication with end users to understand problems and adequately troubleshoot issues.
• Work directly with all SIU HealthCare staff to provide mentoring, education and training in the use of SIU-HC IS supported applications within the patient care setting.
• Perform needs assessments and monitor compliance to ensure transfer of learning and improvement
• Must possess the ability to maintain confidentiality
• As needed act as a back up to the follow-up teams, customer service team and registration/non-RSS team
• Analyze and interpret complex data sets to support strategic decision-making and performance improvement initiatives.
• Independently conduct research and prepare detailed reports with minimal supervision.
• Acquire and apply knowledge of FQHC (Federally Qualified Health Center), federal, and state healthcare reimbursement guidelines to ensure compliance.
• Identify trends and performance issues through data analysis and formulate actionable recommendations for improvement.
• Support leadership by preparing presentations and data summaries to communicate program effectiveness and progress toward goals.

Qualifications

1. High school graduate or equivalent
2. Any one or any combination totaling one (1) year (12 months) from the following categories:
   a. College coursework which includes Information Technology (IT), IT Management, Programming, IT systems, Management, Finance, Business or a closely related discipline, as measured by the following conversion table or its proportional equivalent:
   i. 30 semester hours equals one (1) year (12 months)
   ii. Associate's Degree (60 semester hours) equals eighteen months (18 months)
   iii. 90 semester hours equals two (2) years (24 months)
   iv. Bachelor's Degree (120 semester hours) equals three (3) years (36 months)
   b. Work experience in IT-related functions such as hardware/software support, programming, network design, network engineering, IT systems integration, or closely related field including progressively more responsible work experience in a training, quality analyst, or leadership capacity
3. Two (2) years of progressively responsible experience in patient revenue cycle including, but not limited to: patient registration, eligibility verification, scheduling, referrals, and authorizations, claims billing, insurance follow up (government and non-government), denial management, coding, cash management, payment posting, customer service, and collections.
4. Two (2) years of work experience with programs such as Epic, Athena, IDX, or Centricity Business (CB)

NOTE: Experience in 3 - 4 above can run concurrently