WRVU Analyst

Baptist Health Care
United States, Florida, Pensacola
Dec 19, 2024
Job Description The TITLE is responsible for administering Physician compensation programs and managing the calculations of Work Relative Value Units (WRVU) data used to compensate Baptist employed providers. This position serves as the primary liaison with Human Resources, Payroll, Compliance, and Legal for physician and WVRU compensation matters. This position ensures that all physician compensation and WRVU calculations meet the standard of the approved compensation policy of Baptist Health Care. The position supports all aspects of provider compensation and supervision of contract administration, regulatory compliance, and fair market value assessments. The TITLE is responsible for monitoring compensation trends in the market and recommending modifications to current physician and WRVU compensation programs in order to meet BPE's objectives and needs. Responsibilities Works with IT and Analytics Center of Excellence (ACE) to automate any applicable WRVU calculation rules. Validates and maintains accuracy of automated rules within Excel MACRO, POWER BI, and any software application used for the purpose of WRVU calculation. Develops and maintains algorithms to calculate provider WRVUs, and manually calculates all WRVU values not automated due to rule complexity. Evaluates quarterly CMS Fee schedule changes and communicates changes that will affect WRVU calculations to Providers and Leadership. Answers any WRVU related questions from providers and leadership and presents information either verbally or written. Produces monthly reporting to Accounting for purpose of Provider compensation. Works with Internal Audit and Revenue Cycle Quality Team to complete random and routine audits to ensure WRVU calculations are accurate. Leads provider contract changes with Legal in accordance with guidelines, rules and regulations, Stark and Anti-Kickback legislation. Provides data and coordinates with outside consultants for FMV analyses. Responsible for oversight of preparation and submission of all required forms to HR and Payroll to support provider compensation programs. Responsible for valuing new provider employment offers and preparing contract terms for those offers. Maintains monthly productivity data and calculates pro forma compensation for active and proposed compensation programs. Responsible for validation of monthly productivity data and calculations for provider compensation. Prepares data and participates in various compensation surveys. May conduct or oversee special surveys to gather data on specific issue areas as required. Leads the coordination and the development of provider compensation policies and procedures. Leads the coordination and the administration of special compensation plans. Advises operational leaders on individual salary treatment, working within established policies and guidelines. Advises management in the administration of provider compensation programs. Assist in other duties as assigned to support the operational needs of the department and organization. May be required to remain on campus immediately before, during, and after severe weather and/or disasters. Qualifications Minimum Education Bachelor's Degree Business Administration, Health Care Administration, Health Care Management, Five years of related experience maybe considered in lieu of degree, Other related field Required Minimum Work Experience 4-6 years Health care experience, preferably with physician practices Required 2 years Revenue cycle environment or coding experience Preferred Licenses and Certifications Certified Professional Coder (CPC_AAPC) Upon Hire Preferred Required Skills, Knowledge and Abilities High proficiency with Excel with Macros and PowerBI. Ability to maintain and create complex datasets and databases. Ability to use IT systems to meet data needs (i.e., data mining, data queries, viewing account level details), and working knowledge of data management and data development using automation tools and/or concepts (SQL, POWER BI, AI, etc.). Knowledge of health care revenue cycle charge process. Excellent written and verbal communication with various team member and leadership levels. Ability to research and analyze impact of CMS regulations/fee schedule components on financial outcomes. Ability to maintain workflow to meet demands of monthly timelines and prioritize customer requests. About Us Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida. Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law.