Revenue Cycle Analyst

The Revenue Cycle Analyst will support revenue cycle initiatives for compliance and revenue optimization for the organization. This position will bridge gaps and bring transparency to clinical, front end, mid-cycle and back end work flows to enable the organization to make timely, strategic, and tactical decisions. Performs detailed, quantitative analysis work to support increased revenues, decreased costs, accelerated cash flow, improved clinical outcomes and operational flow efficiencies.

We are committed to providing wage ranges for all open positions. Please note that the specific compensation for this role will be determined based on experience, education and internal equity considerations. The hourly wage range for this position is $28.84-$40.72.This range reflects the base salary for this position.

• Works collaboratively with Senior Revenue Cycle Analyst along with other clinical and finance departments. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, in conjunction with strong analytic and organizational skills.
• Responsible for researching and aiding in processes to optimize legitimate reimbursement for our organization. Works with multi-disciplinary team to assess and improve denial management with reports and feedback to help educate and implement necessary changes.
• Collects appropriate data and applies proper audit procedures to test the patient charge systems/procedures. Prepares reports documenting audit findings, conclusions, and recommendations.
• Applies innovative thinking and business knowledge to review back-end processes, from intake to collection, in order to maximize collections through the accurate and complete capture of all charges efficiency and profitability.
• Continuously learn and apply improvement methodologies, and spread successful innovation through the institution.
• Maintains strong working relationships with departments to educate and support revenue department managers and directors as to their roles and responsibilities as they relate to revenue capture.
• Reviews and distributes regulatory coding and billing information from CMS and/or third-party payors to the appropriate departments. Ensures that NH+C maintains compliance with regulations and captures accurate reimbursement for services provided.
• Apply data analytic principles to build queries and extract data for analysis and interpretation. Analyze complex data set and use relational databases to build queries for ad-hoc reports from EHR.
• Assists in maintaining the integrity of the charge description master for the hospital, and clinics through annual updates, periodic audits, and ongoing review. Align charge master pricing with payor reimbursement and competitive market pricing.

• Bachelor’s degree in Accounting, Business Administration, or Finance or 5+ years of experience in healthcare Revenue Cycle.
• Minimum 2-3 year’s strong financial and data analysis experience with experience extracting data from relational databases.
• High level of analytical, problem solving and critical thinking skills.
• Expert level skills in Excel and Access.
• The ability to work in a professional, teamwork oriented manner with both organizational and external colleagues.
• Demonstrated ability to successfully multi-task, completing complex projects completely and on time.
• Ability to write reports, presentations and business correspondence that are readily understood and conform to accepted standards of professional business communications style and format.
• Must be able to speak, read, and write English proficiently to ensure safe and effective communication in a healthcare environment.

• 2-3 years’…