Quality Analyst, Revenue Cycle

The US Oncology Network is looking for a Revenue Cycle Quality Analyst to join our team at Texas Oncology. This hybrid remote position will support our Central Business Office location at 3001 East President George Bush Highway.

Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

Why work for us?

Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas. We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.

What does the position do?

Under direct supervision, responsible for supporting quality assurance and continuous improvement that ensures alignment with organizational objectives. This position will be responsible for planning, developing, and facilitating quality assurance activities to evaluate Revenue Cycle processes and procedures. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values.

The essential duties and responsibilities:

• Participates in activities to examine the overall effectiveness, quality, and compliance of revenue cycle processes with company policies and procedures.
• Facilitate quality assurance assessments to ensure compliance with company policies and procedures and applicable laws and regulations.
• Completes internal quality assurance assessments in accordance with department and company standards and policies.
• Detects areas of operational inefficiencies, internal control weaknesses and noncompliance with departmental policies/procedures and applicable laws and regulations.
• Gathers data from business systems applications, company documentation, analytical testing, and interviews with personnel and personal observation.
• Assesses practice, role, and process-specific procedures to ensure overall adherence to revenue cycle standards and policies.
• Evaluates overall audit results by working to review factors causing deficiencies and recommended courses of action prior to issuance of final reports.
• Summarizes quality assurance findings and preliminary recommendations for management review.
• Drafts written reports in accordance with reporting standards. Ensures all findings, exceptions and proposed adjustments to processes are explained or included in reports. Assists with presentation of reports.
• Assists in establishing action plans for assessment findings and follows up to ensure implementation of improvements.
• Recommends and documents audit procedures, standard reports and metrics to improve business processes and procedures.
• Other duties as requested or assigned.

The ideal candidate for the position will have the following background and experience:

To be considered for this position, candidates must meet the following minimum qualifications, which ensure the necessary skills, education, and experience to perform the job effectively

• High School diploma or equivalent required.
• Three (3) years of work experience in a related field or equivalent combination of education and work experience.
• Excellent interpersonal and presentation skills, both in-person and virtually.
• Analytical skills (ability to objectively evaluate data and perform statistical analysis).
• Proficiency with Microsoft Office Products (Word, Excel, PowerPoint, and Outlook).
• Experience with Lean tools, 5S, 8D, Kaizen events, Six Sigma tools, PFMEA, Control Plans, Process Flow, Process Auditing, ISO, and/or Poka Yoke design is desired.
• Must successfully complete the required onboarding courses and training within 45 days of occupying position.

Preferred Qualifications:

In addition to the required qualifications, we seek candidates who bring a unique blend of skills and experience that will enhance our team. Ideal candidates will possess:

• Bachelor's degree in a related field.
• OR
• Associate's Degree and 2 additional years of realted experience
• OR
• 8 years of related experience
• Prior experience or certification in quality, six sigma, process improvement, or lean.
• Knowledge of medical insurance processes, billing, and collections with CPT, ICD10, and HCPCS coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc.).

Competencies:

The ideal candidate will possess a combination of technical and soft skills essential for success in this role. These competencies ensure the ability to perform job duties effectively and contribute positively to the team and organization.

The ideal candidate will possess a combination of technical and soft skills essential for success in this role. These competencies ensure the ability to perform job duties effectively and contribute positively to the team and organization.

• Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; accesses and uses other expert resources when appropriate.
• Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change; shows resilience in the face of constraints, frustrations, or adversity; demonstrates flexibility.
• Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.
• Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
• Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

Work Environment:

This is a hybrid position. The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations, and other conditions common to an oncology/hematology clinic environment. Work will involve in-person and virtual interaction with co-workers and management and/or clients. Work may require minimal travel by air or automobile to office sites.