Hospital Price Transparency Analyst

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Health Catalyst

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Healthcare Insurance • Artificial Intelligence • SaaS

Health Catalyst is a leading provider of data and analytics technology and services to healthcare organizations, committed to being the catalyst for massive, measurable, data-informed healthcare improvement. The company empowers organizations with AI-enabled insights and comprehensive data solutions to drive scalable, measurable improvements in patient outcomes, operational efficiency, and financial performance. With a focus on population health management, clinical quality, and patient engagement, Health Catalyst aims to transform healthcare through data-driven decision-making.

1001 - 5000 employees

Founded 2008

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

☁️ SaaS

📋 Description

• 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