Revenue Cycle Analyst

Job Description - Revenue Cycle Analyst (2603240)

Revenue Cycle Analyst

At Stony Brook Medicine the Revenue Cycle Analyst will provide operational support and analytical and reporting services throughout the hospital’s Business Office. This position will work closely with subject matter experts in their assigned area to support day to day business functions, performance improvement initiatives, reconciliation, benchmarking and reporting. Candidates will possess a high degree of both technical and analytical aptitude with a history or background which demonstrates an ability to:
1) summarize, analyze and report business data;
2) adopt and master software tools/platforms;
3) effectively communicate (written & verbal) business process, objectives and trends.

• Analyze claims and remittance data and present findings to departmental leadership.
• Complete variance and trend analyses via spreadsheets, databases and dashboards.
• Create audit and reconciliation plans related to: charges, adjustments, expected reimbursement and denials; accelerated and unposted cash.
• Document and validate business processes and business systems configuration, including:
  Patient Billing, Claims Scrubber, Contract Management and Work Listing Software.
• Interpret billing, coding and payment regulations, third party contracts.

• Bachelor of Science in Accounting or Finance, Health Information Management, Health Administration, Computer Science or related field.
• Proficiency in MS Office Suite including;
  Excel, Word, Access, Visio, PowerPoint.
• Excellent written and verbal communication skills.

• Masters Degree or Professional Licensure.
• Experience in an Acute Care Hospital/Health System Revenue Cycle, Accounting, Finance, Information Technology or Decision Support role.
• Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies.
• Knowledge of third party payer reimbursement methodologies and contracts.
• Knowledge of CPT, HCPCs and ICD-10 coding principles.
• Knowledge of Invision Patient Accounting, RPM, Contract Management and/or Claims Scrubber Software.
• Knowledge of SQL or Database Queries.
• Experience reporting from healthcare decision support, patient accounting, contract management and/or claims scrubber systems.
• Proficiency with SAP Business Objects, Crystal Reports.
• Proficiency with visualization software (Tableau, MS Power BI, etc.).

Please Note:

Verification of degree (e.g., diploma or official transcript) is required for this role. Upload of documentation must be included with your application for consideration.

Resume/CV should be included with the online application.

This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).

If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.

• Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas…