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University of Miami · 4 months ago

Business Systems Analyst 3 - Revenue Integrity

Miami, FL

Full-time

Onsite

Senior Level

5+ years exp

The University of Miami is an academic medical center providing leading-edge patient care. The Business Systems Analyst 3 - Revenue Integrity is responsible for analyzing clinical and financial data to support revenue integrity, ensuring accurate billing processes and identifying areas for improvement.

Higher Education

H1B Sponsor Likely

Responsibilities

Reviews, analyzes and triages application issues and cases. Creates and maintains detailed support documentation of ongoing projects, tests internal application releases, and performs periodic system maintenance

Provides training for internal users

Monitors system availability, working closely with system administrators and business systems analysts

Recommends changes in development, maintenance, and system standards. Develops detailed action plan with goals and target dates and obtains necessary approvals

Maintains ongoing communication and rapport with the management team regarding project activity

Flowcharts existing processes versus improved flow. Prepares time and cost estimates for projects and proposals. Conducts research for best practice models and benchmarking

Applies industrial and management engineering techniques, such as process designs, optimization models, forecasting methodologies, and chain management principles, to improve overall systems

Analyzes existing flow of people, activities, and materials, employee work methods and utilization, policies and procedures, staffing levels, supervisory structure, space utilization, supply and demand optimization methods, forms, equipment, and computerized systems to design improved work systems

Designs systems for production and inventory control in buying, storing, handling, and processing of materials and supplies. Designs facilities, management systems, and standard operating procedures

Develops management control systems to aid in financial planning and cost analysis

Improves productivity through the application of technology and human factors. Designs supply chain management standards across the university

Conducts data collection to measure baseline versus improvement, before and after recommendations are implemented

Creates formal presentations for projects and studies, including data collected, methodology used, results obtained, recommendations for improvement, and cost and savings involved

Participates in continuing quality improvement activities

Adheres to University and unit-level policies and procedures and safeguards University assets

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

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

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

Generate and analyze reports on revenue integrity KPIs

Present findings to leadership and operational teams

Support data-driven decision-making and performance improvement initiatives

Qualification

Revenue Integrity CertificationRevenue Cycle ManagementHealthcare Billing KnowledgeEHR Platforms ExperienceAnalytical ThinkingMicrosoft Office ProficiencyProject Management KnowledgeInterpersonal SkillsCommunication SkillsTeam Collaboration

Required

Bachelor's degree in relevant field

Certification in Revenue Integrity required (e.g., CRCR, CHRI, CPC, CPMA)

Minimum 5 years of relevant experience

3+ years of experience in revenue cycle management (billing, coding, or financial analysis)

Understanding of healthcare billing, coding (CPT, ICD-10, HCPCS), charge capture, and reimbursement methodologies

Analytical thinking and attention to detail

Demonstrated knowledge 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

Preferred

Epic Resolute – Certification or Proficiency

Minimum 3+ years of experience in revenue cycle management (billing, coding, or financial analysis)

Experience with major EHR and revenue cycle platforms (e.g., Epic, Cerner)

Familiar with state-of-the-art, industry-specific technology and solutions

Benefits

Medical

Dental

Tuition remission

And more

Company

University of Miami

Glassdoor3.9

At UM you'll join a diverse and energized academic community.

Founded in 1925

Coral Gables, fl, US

5001-10000 employees

http://miami.edu

H1B Sponsorship

University of Miami has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (208)

2024 (151)

2023 (149)

2022 (121)

2021 (95)

2020 (114)