Sr. Revenue Cycle Management Analyst; Revenue Cycle-Initiatives

Position Summary

We have an exciting opportunity to join our team as a Sr. Revenue Cycle Management Analyst (Revenue Cycle-Initiatives). In this role, the successful candidate is responsible for projects related to revenue cycle initiatives including the charge master system files within the patient accounting system. Responsible for coordinating reviews, research, and maintenance related to the Charge Master for all Medical Center facilities.

Provides guidance and supervision to Analysts to ensure that all project goals are accomplished according to specification on time. Works under general direction.

• Supports team leadership in identifying targeted departmental reviews using statistics, governmental and 3rd party payor regulatory changes. Monitors changes resulting from department reviews, tracking utilization, monetary and compliance impact.
• Performs other duties as assigned.
• Participates in special projects as requested by the Revenue Cycle Leadership.
• Maintains strong knowledge of regulatory billing guidelines. Monitor health care regulatory resources, including, but not limited to, the Centers for Medicare and Medicaid Services (CMS) and the New York State Department of Health to ensure compliance with organization, statutory, federal mandates, and payer regulations.
• Develops and implements policies and procedures related to the Revenue Management Intiatives department that support financial goals and objectives. Demonstrates knowledge of current developments and changes within the health care industry. Adapts policies and procedures to comply with all legal and regulatory requirements as related to charging, billing and reimbursement. Inform staff of relevant changes and developments.
• Keeps abreast of all billing and reimbursement regulations and standards to ensure compliance with any published or anticipated changes issued by governmental agencies and/or third party payors and shares knowledge with staff through verbal or written communication. Reviews charging to comply with Medicare and Medicaid coding requirements.
• Hires, trains, coaches, disciplines and evaluates staff to ensure smooth operation and to maintain a high level of patient satisfaction and adherence to financial targets. Develops, documents and implements standard operating procedures and processes monitoring workflow to ensure adequate staffing levels for department to run at maximum efficiency.
• Serves as a lead and technical resource between patient financial services, HIM and clinical/ancillary departments. Provides direction to revenue generating departments in support of charge master activities in the form of routine meetings, third party payor updates and charge master changes/updates.
• Provides routine and ad hoc reporting/analysis such as monthly statistical, revenue reporting and analysis for new service or product offerings.
• Extracts and complies data from various system sources to develop sound analyses leading to potential revenue cycle opportunities, conducting analyses related to CDM setup, charge capture, billing, and/or patient financial services.

To qualify you must have a Bachelors Degree and 3-5 years of experience in healthcare finance/accounting, revenue cycle and/or decision support functions.

• Knowledge of revenue cycle business processes
• High level of analytical skills, and excellent communication skills required
• Skilled in data extraction, manipulation, and analysis to assist executive level personnel with the identification of revenue opportunities throughout the hospital
• Proficient in Microsoft Excel, Word, and Power Point
• Demonstrated time management/planning and organizational skills

Experience in healthcare finance/accounting, revenue cycle and/or decision support functions.

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.

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