Revenue Cycle Analyst I

J  o  b    D  e  s  c  r  i  p  t  i  o  n

JOB INFORMATION

Effective Date:

10/5/2025

Entity:

Wisconsin

Job Code:

320054

Job Title:

Revenue Cycle Analyst I

Exemption Status:

Exempt

Management Level:

Individual Contributor

JOB SUMMARY

The Revenue Cycle Analyst I plays a critical role in the financial health of the healthcare organization by leveraging data analytics to inform strategic decision-making within the revenue cycle. This position involves the extraction, analysis, and interpretation of data related to patient registration, charge capture, coding, billing, payment posting, and accounts receivable.

The Analyst will produce comprehensive reports and visualizations that provide actionable insights for revenue cycle leadership, helping to drive improvements in financial performance and operational efficiency. The requests that drive this level of analysis may come through ad-hoc requests and also through self-driven data analysis through observational workflows. The Analyst II will need to utilize a variety of analytical methods, tools, models, and techniques, including but not limited to Epic dashboards, reporting workbench, SlicerDicer, SQL, Clarity, and Caboodle . Other responsibilities include, but are not limited to, assisting with training and development of training programs, involvement in projects, and cross-team collaboration with multiple departments both within and outside of the revenue cycle.

MAJOR RESPONSIBILITIES

•

Extract and aggregate data from multiple sources, including Epic-based reporting tool, Clarity, and Caboodle.

•

Perform advanced data analysis to identify patterns, trends, and anomalies in the revenue cycle. Focus area include but are not limited to metrics such as claim denials, payment delays, and revenue leakage.

•

Conduct root cause analysis to uncover underlying issues affecting revenue cycle performance and provide evidence-based recommendations to revenue cycle leadership/department delegates.

•

Utilize knowledge of the healthcare industry, clinical and/or business workflows to propose data driven solutions and improvements while working collaboratively with various stakeholders.

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Develop clear, concise, and visually appealing reports and presentations that effectively communicate data insights to revenue cycle leadership/department delegates.

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Use data visualization tools (e.g., Excel) to present findings in a way that is easily understandable.

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Create regular and ad-hoc reports that highlight key performance indicators (KPIs) and monitor the impact of implemented changes over time.

•

Collaborate with revenue cycle leadership/department delegates to identify key areas of focus and develop data-driven strategies to improve financial outcomes.

•

Provide predictive analytics and forecasting models to anticipate future trends and support strategic planning.

•

Assist in the evaluation of revenue cycle initiatives by tracking performance metrics and measuring the effectiveness of new processes or systems.

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Work with revenue cycle leadership and other departments to ensure that data systems are optimized for accurate and efficient data extraction and analysis.

•

Participate in the implementation and integration of new data analytics tools and platforms that enhance the ability to track and analyze revenue cycle data.

•

Ensures EHR system has turned on all available/released data models, dashboards/components, advanced metrics, etc. and made available to all appropriate Revenue Cycle staff.

•

Performs data validation/integrity checks on new calculated metrics being released in EHR system.

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Educate and train revenue cycle staff and leadership on data interpretation, report usage, and the importance of data integrity.

•

Assist training team with creation of training programs/catalogs and tools related to self-service reporting, data interpretation, and analytics.

•

Act as a liaison between technical teams and revenue cycle leadership/department delegates, ensuring that data needs are communicated effectively and met with accurate solutions.

•

Ensure that all data analytics processes comply with relevant regulations, including HIPAA, and organizational policies.

•

Identify potential risks related to revenue cycle data, such as inaccuracies or data breaches.

ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS.

X

Non-Clinical

JOB REQUIREMENTS

Bachelor's Degree

in accounting, finance, business, healthcare, statistics, analytics or another related field

Required

Master's Degree

in accounting, finance, business, healthcare, statistics, analytics or another related field

Preferred

2 years

of experience in data analytics, preferably within a healthcare revenue cycle context.

Required

3 years

of experience in data analytics, preferably within a healthcare revenue cycle context.

Preferred

EPIC certification in any area

Upon Hire

Required

Certified healthcare data analyst or similar

Preferred

•

Expertise in data analysis, statistical methods, and predictive modeling.

•

Knowledge of SQL, Clarity, Caboodle, and/or other analytical reporting tools

•

Intermediate proficiency in Excel and data visualization tools/methods.

•

Excellent communication skills, with the ability to translate complex data into actionable insights for non-technical audiences.

•

Strong problem-solving abilities and attention to detail.

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Demonstrates professional standards surrounding data access, security, sensitivity, and confidentiality.

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Ability to analyze data and workflows to identify complex problems and issues to recommend solutions.

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Ability to make good judgments in demanding situations.

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Ability to develop goals, objectives, and establish priorities.

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Ability to implement change in a positive, sensitive, and forward-thinking manner.

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Inspire confidence, good judgment, and the ability to act decisively at the right time.

•

Self-starter with a willingness to try new ideas.

•

Positive, can-do attitude coupled with a sense of urgency.

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Experience in database development and management.

•

Experience in Microsoft Office Suite (Excel, Word, Outlook, SharePoint, OneNote, and Power Point).

•

Experience using Epic EHR applications.

•

Strong understanding of healthcare reimbursement methodologies and revenue cycle processes.

•

Ability to effect collaborative alliances and promote teamwork.

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Ability to ensure a high level of customer satisfaction including employees, patients, visitors, faculty, referring physicians and external stakeholders.

•

Ability to network with Revenue Cycle/Integrity leaders from other organizations

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

☒

Sedentary: Ability to lift up to 10 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Up to 10#

Negligible

Negligible

☐

Light: Ability to lift up to 20 pounds maximum with frequent lifting and/or carrying of objects weighing up to 10 pounds. Even though the weight lifted may only be negligible amount, a job is in this category when it requires walking or standing to a significant degree.

up to 20#

Up to 10# or requires significant walking or standing or requires pushing/pulling of arm/leg controls.

Negligible or constant push/pull of items of negligible weight

☐

Medium: Ability to lift up to 50 pounds maximum with frequent lifting and/or carrying objects weighing up to 25 pounds.

20-50#

10-25#

Negligible-10#

☐

Heavy: Ability to lift up to 100 pounds maximum with frequent lifting and/or carrying objects weighing up to 50 pounds.

50-100#

25-50#

10-20#

☐

Very Heavy: Ability to lift over 100 pounds with frequent lifting and/or carrying objects weighing over 50 pounds.

Over 100#

Over 50#

Over 20#

Other - list any other physical requirements or bona fide occupational qualifications not indicated above:

Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.