Pediatric Revenue Cycle Operations Analyst

American Academy of Ped•Itasca, IL

5d•Hybrid

About The Position

The Pediatric Revenue Cycle Operations Analyst leads and supports the development and delivery of pediatric revenue cycle education programs and resources for physicians, practices, hospitals, and related healthcare organizations and professionals. The role serves as a subject matter expert for AAP staff, members, and external partners on pediatric revenue cycle operations, coding, documentation, and payment across hospital and ambulatory care settings. The analyst designs and evaluates educational programs and resources, assesses learning needs, and collaborates with AAP staff and stakeholders on training, technical assistance, consulting, publications, and other initiatives. The position analyzes coding, billing, denial, payment, and operational trends to develop targeted education and support performance improvement. It reports to the Senior Director, Finance and Payment Strategy. The position requires some evening and weekend work and travel, plus flexibility to accommodate physicians’ availability. The work environment is hybrid, with 40% of work time in the office per month. The stated base pay range is $95,237.05–$100,528.22. The organization offers healthcare and retirement savings plans, along with a comprehensive benefits package.

Requirements

Bachelor’s degree in business administration, public health, finance, or a related field, or an equivalent combination of relevant education and work experience.
Certified Professional Coder certification.
At least three years of related experience in healthcare revenue cycle operations, coding, payment, documentation, healthcare finance, or related healthcare operations.
Experience developing and delivering educational programs, training, and presentations for healthcare professionals.
Experience working with pediatric practices, pediatric subspecialties, children’s hospitals, or other pediatric healthcare organizations.
Advanced knowledge of pediatric revenue cycle operations, healthcare payment methodologies, CPT, ICD-10-CM, HCPCS, and DRG systems.
Excellent verbal and written communication, presentation, facilitation, interpersonal, analytical, consulting, and critical-thinking skills.
Ability to analyze coding, billing, denial, payment, and operational performance trends and translate findings into practical educational resources, technical assistance, and performance improvement initiatives.
Strong technical acumen and proficiency in MS Office and virtual meeting platforms such as Teams; ability to learn and apply new technologies, including AI.
Some evening and weekend work and travel are required; ability to work flexibly to accommodate physicians’ availability.

Nice To Haves

Relevant certification in DRG coding, or certifications related to healthcare finance, revenue cycle, auditing, compliance, or clinical documentation improvement.
Experience with hospital-based/facility and ambulatory/professional billing environments.
Experience supporting charge capture improvement, denial management, coding quality initiatives, payment analysis, practice operations, or revenue cycle performance improvement.
Knowledge of the operational and financial considerations unique to pediatric healthcare settings across hospital-based/facility and ambulatory/professional coding, billing, and payment environments.
Experience with revenue cycle, billing, coding, and payment reporting systems and analytics tools, document collaboration platforms such as SharePoint, and project management tools such as SmartSheet.

Responsibilities

Lead the design, development, implementation, and evaluation of pediatric revenue cycle and coding education programs.
Develop curricula, learning pathways, training materials, toolkits, workshops, webinars, self-paced courses, and competency-based learning resources.
Assess educational needs and performance gaps, and develop learning solutions to improve revenue cycle performance, coding accuracy, and payment outcomes.
Serve as a staff liaison to relevant AAP member groups supporting revenue cycle, coding, payment, practice, and health system operations needs.
Collaborate with internal and external stakeholders to create specialized educational offerings addressing revenue cycle management, coding, payment, and practice transformation.
Adopt technologies and tools to improve the precision, efficiency, and reach of revenue cycle, coding, and payment guidance.
Support consulting and advisory engagements on revenue cycle operations, coding, documentation, payment methodologies, charge capture, denial prevention and management, operational workflows, and practice performance improvement.
Research member coding and payment issues and provide technical assistance.
Support the expansion of revenue cycle and coding education, publications, consulting services, and other initiatives that enhance member value and contribute to organizational and revenue growth.
Analyze coding, billing, denial, and payment trends to identify educational opportunities and develop targeted training programs and resources.
Perform other duties as assigned.