San Bernardino County (CA)-posted 18 days ago
Full-time • Entry Level
San Bernadino, CA
Executive, Legislative, and Other General Government Support

Arrowhead Regional Medical Center (ARMC) is recruiting for Hospital Revenue Analyst to help support the revenue reconciliation processes. The Hospital Revenue Analyst will analyze hospital charge capture within the Electronic Health Record (EHR) and claim regulatory and payer specific billing edits within the EHR and the claim scrubber system to resolve claim errors, regulatory edits, and other holds through medical documentation review and CMS and DHCS references to remain in compliance with federal and state requirements. Other duties will include: Analyze workflows and understanding policies related to access, billing and claims supported by the EPIC EHR system Maintain expertise in multiple data sources to extrapolate information and analytics that can be presented in an easy to understand manner Evaluate and perform claims auditing for identifying and analyzing root causes for line-item denials for all Government and Commercial payor sources Work with clinical and ancillary departments to educate managers on correct coding, billing, and charging principles Work on revenue capture and process improvement with the goal of increasing and maintain the hospital clean claim rate. Official County Title: Staff Analyst II. For more information, refer to the Staff Analyst II job description. Applications are also being accepted for Hospital Revenue Analyst Trainee. A separate application is required and it is in your best interest to apply for all levels in which you qualify. The eligible list established by this recruitment will be used to fill other vacancies throughout the department.

  • Analyze hospital charge capture within the Electronic Health Record (EHR)
  • Resolve claim errors, regulatory edits, and other holds through medical documentation review and CMS and DHCS references
  • Analyze workflows and understanding policies related to access, billing and claims supported by the EPIC EHR system
  • Maintain expertise in multiple data sources to extrapolate information and analytics that can be presented in an easy to understand manner
  • Evaluate and perform claims auditing for identifying and analyzing root causes for line-item denials for all Government and Commercial payor sources
  • Work with clinical and ancillary departments to educate managers on correct coding, billing, and charging principles
  • Work on revenue capture and process improvement with the goal of increasing and maintain the hospital clean claim rate.
  • Two (2) years of full-time professional experience in hospital revenue cycle department conducting analytical studies related to hospital revenue cycle and billing practices and methods; Medicare and Medi-Cal billing regulations; insurance billing and collections; budget/financial management, patient accounts/billing; utilization review, clinical documentation and charge capture; operations, policies and procedures.
  • One (1) year of experience as a Hospital Revenue Analyst Trainee (Staff Analyst II Trainee) in San Bernardino County, which must have included substantial responsibility in the areas of hospital revenue cycle processes, revenue capture and the development, implementation and, or charge and audit functions.
  • A completed Bachelor's degree in Public/Business Administration, Healthcare Management, Finance/Accounting/Mathematics, Behavioral/Social Science, or other relevant field of study.
  • Associates degree or 60 semester units from an accredited college or university in a qualifying field of study as stated above AND an additional Two (2) years of experience working in the revenue cycle, revenue capture, budgeting, fiscal/budget analysis, accounting, economics or other closely related duties.
  • Four (4) years of additional experience supporting management or professional level administrative services staff in any of the following areas within a hospital revenue/finance environment: revenue cycle, budgeting, fiscal/budget analysis, data analysis, statistical analysis, accounting, economics or other closely related duties may substitute the required education.
  • Knowledge of third-party reimbursement, collection laws, and UB04 billing regulations
  • Exceptional attention to detail
  • Excellent interpersonal and time management skills
  • Knowledge of Charge Description Master (CDM)
  • Closely related advanced degree
  • Experience with EPIC EHR system highly desirable
  • Certified Professional Coder (CPC)
  • Certified Professional Biller (CPB)
  • Certified Revenue Cycle Representative (CRCR)
  • Certified Healthcare Financial Professional (CHFP)
  • EXCELLENT BENEFITS & RETIREMENT
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