Join one of the nation’s leading and most impactful health care performance improvement companies.Over the years, Health Catalyst has achieved and documented clinical, operational, and financial improvements for many of the nation’s leading healthcare organizations. We are also increasingly serving international markets.Our mission is to be the catalyst for massive, measurable, data-informed healthcare improvement through:
- Data: integrate data in a flexible, open & scalable platform to power healthcare’s digital transformation
- Analytics: deliver analytic applications & services that generate insight on how to measurably improve
- Expertise: provide clinical, financial & operational experts who enable & accelerate improvement
- Engagement: attract, develop and retain world-class team members by being a best place to work
Role: Hospital Price Transparency Analyst
Team: Vitalware
Location: US Remote
Travel: none anticipated
**This position is currently not eligible for visa sponsorship**
Job Profile Summary
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 client success team during implementation of the product to ensure that service level agreements are met.
What you'll own in this role:
- 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 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.
- 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.
What you'll bring to this role:
- 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 and address objectives with minimal 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, ever-changing working environment.
- Strong Microsoft Excel skills
- Active coding certification from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) is preferred
Preferred Experience and Education
- High-school diploma (or GED equivalent).
- Minimum of 5 years inpatient/outpatient combined coding and/or billing experience in a healthcare environment.
Information Security and Compliance Responsibilities:
- Maintain compliance with training directives required by the organization pertaining to Information Security, Acceptable Use Policy and HIPAA Privacy and Security.
- Adhere to and comply with the organizations Acceptable Use Policy.
- Safeguard information system assets by identifying and reporting potential and actual security events to the organizations Security and Compliance Officers.
The above statements describe the general nature and level of work being performed in this job function. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned by Health Catalyst.Studies show that candidates from underrepresented groups are less likely to apply for roles if they don’t have 100% of the qualifications shown in the job posting. While each of our roles have core requirements, please thoughtfully consider your skills and experience and decide if you are interested in the position.
If you feel you may be a good fit for the role, even if you don’t meet all of the qualifications, we hope you will apply. If you feel you are lacking the core requirements for this position, we encourage you to continue exploring our careers page for other roles for which you may be a better fit.At Health Catalyst, we appreciate the opportunity to benefit from the diverse backgrounds and experiences of others. Because of our deep commitment to respect every individual, Health Catalyst is an equal opportunity employer.
