Pediatric Revenue Cycle Operations Analyst

American Academy of Pediatrics•Itasca, IL

6d•$95,237 - $100,528•Hybrid

About The Position

Lead and support the development and delivery of pediatric revenue cycle education programs and resources for physicians, practices, hospitals, and related healthcare organizations and professionals. Serve 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 role develops and evaluates curricula, training materials, workshops, webinars, self-paced courses, toolkits, and other learning resources; assesses educational needs and performance gaps; and collaborates with internal and external stakeholders on specialized education and consulting. It also provides technical assistance and advisory support, analyzes coding, billing, denial, and payment trends, and supports initiatives that improve member value and organizational growth. The position reports to the Senior Director, Finance and Payment Strategy. It is a hybrid role, with 40% of work time in the office per month. Some evening and weekend work and travel are required, and the schedule must be flexible to accommodate physicians’ availability. The estimated current base pay range is $95,237.05–$100,528.22. A comprehensive benefits package includes healthcare and retirement savings plans.

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.
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, proficiency in MS Office and virtual meeting platforms such as Teams, and ability to learn and apply new technologies, including AI.
Some evening and weekend work and travel are required; flexibility to accommodate physicians’ availability is required.

Nice To Haves

Certification in DRG coding, or certifications related to healthcare finance, revenue cycle, auditing, compliance, or clinical documentation improvement.
Experience working with pediatric practices, pediatric subspecialties, children’s hospitals, or other pediatric healthcare organizations.
Experience in both 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 hospital-based/facility and ambulatory/professional coding, billing, and payment environments, including operational and financial considerations unique to pediatric healthcare.
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 for healthcare professionals and organizations.
Develop educational curricula, learning pathways, training materials, toolkits, workshops, webinars, self-paced courses, and competency-based learning resources in collaboration with AAP staff.
Assess educational needs and knowledge and performance gaps, and create learning solutions to support improved revenue cycle performance, coding accuracy, and payment outcomes.
Serve as a staff liaison to relevant AAP member groups addressing revenue cycle, coding, payment, practice, and health system operations.
Collaborate with internal and external stakeholders to create specialized education addressing revenue cycle management, coding, payment, and practice transformation challenges.
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 questions and provide technical assistance through coding and payment support services.
Support the expansion of 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.