Hospital Price Transparency Analyst
Health Catalyst
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- The Hospital Price Transparency Analyst will work with the content team and the development team to maintain and optimize automated processes related to the Hospital Price Index™ tool, including but not limited to, analyzing hospital claims data, auditing the results for data integrity, and resolving identified data issues.
- The HPI Business Analyst will also be responsible for maintaining and optimizing the proprietary HPI rule engine to ensure optimal client experience and compliance with current industry regulations.
- Additionally, the HPI Business Analyst will work with the implementation team to ensure that service level agreements are met.
- Maintains established proprietary HPI rule engine to ensure that product is compliant with current regulations and code sets.
- Audits HPI results after data parsing and works with the development team to resolve any identified data issues.
- Creates HPI reports in a client-friendly format following confirmation of data integrity.
- Evaluates the need for and participates in the development of future HPI product enhancements, including defining acceptance criteria and translating user-level requirements into a logical design that meets compliance requirements.
- Tests development work to assure accuracy of and consistency with product specifications.
- Answers product questions from project management, product implementation consultants, marketing, and sales teams in addition to client questions.
- Attends virtual meetings with clients to review files and ask / address questions relating to the client's specific dataset.
- Keeps abreast of evolving regulatory requirements and code changes; applies this information appropriately to ensure integrity of HPI product.
- Supports other departments by providing relevant input and industry expertise to optimize the client experience.
Requirements
- High-school diploma (or GED equivalent)
- Minimum of 5 years inpatient/outpatient combined coding and/or billing experience in a healthcare environment
- Advanced awareness and understanding of government regulations and resources impacting hospital price transparency rules
- Practical knowledge of healthcare provider business processes including, but not limited to the following: clinical coding, chargemaster management, charge capture, billing and charge reconciliation
- Able to consistently interpret and apply official regulatory guidelines to real-world scenarios
- Strong attention to detail.
- Able to work address objectives at times with little supervision.
- Strong customer service and communication skills, i.e., able to handle and resolve issues or objections diplomatically and respectfully
- Able to write well-reasoned responses to client questions using official regulatory resources
- Able to organize and present content in a clear and concise manner.
- Flexible and comfortable in a fast-paced working environment.
- Strong Microsoft Office skills.
- Active coding certification from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC).
Benefits
- Mentoring and sponsorship programs
- Remote-work friendliness
- Career development
- Company equity
- Flexible PTO
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
hospital claims data analysisdata integrity auditingHPI rule engine maintenancedata parsingHPI report creationproduct testingclinical codingchargemaster managementcharge capturebilling and charge reconciliation
Soft skills
attention to detailcustomer servicecommunicationproblem resolutionorganizational skillsflexibilityindependent workcontent presentation
Certifications
coding certification from AHIMAcoding certification from AAPC