Senior RCM Analyst

Senior RCM Analyst
Job Profile:
Hybrid
Designation:
Senior RCM Analyst
Job Type:
Full-time

Experience:

5+ Years

Education:

Graduate / Post Graduate
Shift Timing:
Night Shift (7 PM – 4 AM)

Roles and Responsibilities
Analyze revenue cycle data to identify trends, patterns, and areas of revenue leakage.
Generate reports and dashboards using MS Excel; proficiency in BI tools (Tableau/Power BI) is an added advantage.
Conduct root-cause analysis of claim denials, rejections, and underpayments, and recommend preventive strategies.
Monitor and report on key RCM metrics (AR days, denial rates, clean claim rates, collection rates).
Collaborate with billing, coding, and clinical teams to drive process improvements and optimize workflows.
Ensure accuracy, integrity, and compliance of data with industry standards (HIPAA).
Identify opportunities for automation to enhance efficiency and accuracy.
Build and maintain databases, data collection systems, and data models for consistent reporting.

Skills Required

Technical Skills
Advanced proficiency in Microsoft Excel; experience with BI tools (Tableau/Power BI).
Familiarity with EHR and RCM systems.
Knowledge of medical coding systems (ICD-10-CM, CPT, HCPCS) and claims submission processes.

Optional Skills
SQL expertise for database management and querying.
Familiarity with programming languages (Python/R) for advanced data analysis.

Soft Skills
Strong analytical and problem-solving abilities.
Excellent communication skills (written and verbal) for both technical and non-technical audiences.
High attention to detail to ensure accuracy in data, coding, and billing.

#Senior

RCMAnalyst #Revenue Cycle Management  #Healthcare Analytics #Medical Billing #Claims Management #Denial Management #Healthcare Finance #RCMCareers #Healthcare Jobs #Hybrid Jobs