Hospital Revenue Cycle Analyst (Onsite) - Augusta Health

Augusta Health • Fishersville, VA

5d • Onsite

About The Position

This position plays a critical role in supporting Augusta Health’s mission and advancing departmental goals through measurable performance indicators and service excellence. This position contributes to a collaborative, patient-centered environment and helps drive outcomes aligned with organizational priorities. As a Revenue Cycle Analyst, this position performs functions which could include any combination of: daily operations; reporting and analysis; issue identification and resolution; and key performance tracking within the Revenue Cycle of Augusta Health in the areas of revenue integrity; expected reimbursement; and payer monitoring. Position will begin as onsite with possibility for hybrid or remote eventually.

Requirements

• High School Diploma or equivalent.
• Minimum of three years of revenue cycle experience.
• Eligibility to work in the United States and meet Virginia state employment requirements.
• Knowledge of third party and governmental billing/collection techniques is required.
• Strong and professional verbal and written communication skills are essential.
• Must be able to communicate effectively with all levels of the organization including clinical professionals, co-workers, payer representatives, and practice and hospital administration.
• Must be able to be efficient with multiple computer applications including the health systems HIS system, CM Navigator, Syntellis Contract Management, AccuReg, etc.
• Must be able to work independently and be self-motivated.
• Strong ability to use analysis-based problem solving techniques.
• Strong time management.
• Is considered a subject matter expert.
• Must be extremely organized.
• Must have at least a general understanding of healthcare billing, charge development, and reimbursement processes, as well as healthcare financial management and reporting.
• Knowledgeable about healthcare regulatory and compliance issues, particularly in regard to Medicare.

Nice To Haves

• Certifications through AAHAM, AAPC, HFMA or other nationally recognized revenue cycle association.
• Prior experience in a hospital, healthcare system, or related service-oriented environment.
• Familiarity with Augusta Health’s systems, workflows, or organizational culture is a plus.

Responsibilities

• Upload new charges, price changes and other coding changes into the HIS system.
• Interact with the chargemaster maintenance software.
• Ensure the legitimacy and compliance of new charge requests.
• Ensure all charge codes are loaded correctly and accurately.
• Assist with the annual charge review performed at the end of each FY in preparation for the next year’s charge structure.
• Lead, request, and attend meetings related to charging practices including new services lines, change in services lines, or any other initiative.
• Provide information when requested regarding charging activities, revenue and usage, and other charge master data.
• Review CPT, HCPCs and Revenue Codes to ensure maintained accuracy.
• Develop process documents as needs are identified.
• Analyze the impact of regulatory changes and communicate accordingly.
• Maintain an updated understanding of each of our main payer contracts, including a high level knowledge of payment provisions for high level discussions.
• Maintain an updated understanding of how to access detailed payment provision information for situations where individual claims assessments are needed.
• Run and analyze payment variance reports from the contract management system.
• Monitor reimbursement of new service lines and locations.
• Coordinate corrected payments from payers where variances arise.
• Coordinate with underpayment vendor partner on contract questions, coding/billing modifications, potential process improvements.
• Maintain updated payment reference materials including fee schedules, managed care rate matrix, and other rate documents.
• Monitor and update the contract management system to ensure AR valuation is as accurate as possible.
• Assist with cataloging of payer contracts.
• Support patient estimation software with charge and payment updates, troubleshooting individual estimate issues.
• Monitor payer policy updates, sharing with appropriate Revenue Cycle teams, tracking of needed system/process changes.
• Research topics for revenue integrity education and training programs.

Benefits

• Comprehensive insurance package including medical, dental, and vision coverage.
• Retirement savings plans and financial wellness support programs.
• Generous paid time off and flexible scheduling to promote work-life balance.
• Career development programs including clinical ladders, shared governance, and advancement opportunities.
• Personalized onboarding with dedicated preceptors and ongoing educational support.
• Tuition reimbursement and access to onsite childcare.
• Free onsite parking, 24/7-armed security for your safety, a Health Fitness Reimbursement Program, and an onsite credit union and pharmacy.
• Competitive pay with shift/weekend differentials.
• Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e., movie tickets).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED