University of Iowa Health Care Finance and Accounting Services is seeking a Financial Analyst - Charge Integrity Analyst.  The role is responsible for ensuring accurate, complete, compliant, and timely charge capture across the organization. This role supports charge review, reconciliation, workflow optimization, and collaboration with clinical and revenue cycle teams to prevent revenue leakage and strengthen billing integrity. The analyst serves as a subject matter expert on charge workflows within the electronic medical record (EMR) and associated departmental systems. Subject matter‑ expert on charge workflows within the EMR and associated departmental systems.

Responsibilities:

• Ensure services performed are accurately and appropriately charged within Epic and supporting systems.

• Investigate and resolve missing, duplicate, or incorrect charges and escalate issues as appropriate.

• Analyze clinical and operational charging workflows to identify opportunities for improved accuracy and efficiency.

• Assist with charge capture audits between the Hospital and physicians.

• Develop and communicate charge capture best practices, including process guides and end-user training.

• Identify workflow gaps that contribute to revenue leakage and partner with departments to implement corrective measures.

• Conduct reconciliation of encounters, departmental charges, and high‑risk service areas at intervals appropriate to operational requirements.

• Monitor charge lag performance and identify patterns of late or missing charges.

• Ensure all charge capture practices align with regulatory and payer billing requirements.

• Monitor and report on key performance indicators (KPIs), including late charges, charge lag, revenue leakage, and charge-related edit/denial trends.

• Conduct data analysis to identify charge capture risks or improvement opportunities.

• Provide reports, dashboards, and actionable insights to leadership and clinical departments.

• Partner closely with Coding, CDM, HCIS build teams, Finance, Decision Support, and Clinical Operations.

• Support cross-functional initiatives focused on workflow improvement, reimbursement optimization, and operational alignment.

• Participate in interdisciplinary workgroups, meetings, and projects to address charge-related issues.

• An integral part in the development of policies and procedures as they relate to improving processes, strengthening controls, enhancing revenue, and improving cash flow.

• Maintain effective working relationships with faculty, staff, students, and the public.

Required Qualifications:

• A Bachelor’s Degree in Business Administration, Healthcare Administration, Finance, Business, or related field, or equivalent combination of education and experience is required.

• 1 year of experience in charge capture, coding, billing, revenue cycle, or related healthcare operations.

• Excellent written, verbal, and interpersonal communication skills.

• Proficient in computer software applications.

• Adaptability, creative problem solving, project management, and organizational skills.

• Knowledge of team dynamics and skilled in building consensus.  Ability to develop and maintain effective relationships with internal and external partners.

• Analytical skills with ability to identify trends, root causes, and process opportunities.

• Ability to prioritize workload based on dynamic deadlines.

• Demonstrated experience working effectively in a welcoming and respectful workplace environment.

Desired Qualifications:

• Experience with EMR systems (Epic, Cerner, etc.) and charge reconciliation tools strongly preferred.

• Working knowledge of CPT/HCPCS coding, CMS billing rules, and NCCI edits preferred.

• Strong analytical and problem-solving skills

• Deep understanding of hospital and professional billing requirements

• Knowledge of medical record documentation types and concepts related to outpatient and inpatient services (e.g., outpatient and inpatient evaluation and management services, procedural/operative services, laboratory, and radiologic services).

• Knowledge of computer systems such as Epic, Microsoft Office products, and Adobe.

• Knowledge of University policies, procedures, and regulations.

• Knowledge of claims billing and follow-up

• Strong ability to engage interdisciplinary teams, including clinical staff

• Reasonable knowledge of complex financial and statistical analysis and presentation.

• Strong attention to detail and accuracy

• Critical thinking and root cause problem solving ‑cause problem solving

• Ability to communicate with clinical and non‑clinical stakeholders

• Process improvement mindset

Application Process: To be considered, applicants must upload a cover letter and resume (under the submission of relevant materials) that clearly address how they meet the listed required and desired qualifications of this position. Job openings are posted for a minimum of 7 calendar days. Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification.

•  Up to 5 professional references will be requested at a later step in the recruitment process. For questions, contact Sharon Walther at sharon-walther@uiowa.edu.

• This position is not eligible for University sponsorship for employment authorization now or in the future.