RCM System Analyst

The Emily Program•Roseville, MN

7h•Remote

About The Position

The RCM System Analyst – Revenue Cycle Management (RCM) provides real-time operational and technical support to the RCM team to ensure optimal billing performance, revenue integrity, and system functionality. This role serves as a key liaison between Revenue Cycle, EHR, IT, and external vendors to troubleshoot claim and remittance issues, support system upgrades, and drive process improvements. The Analyst plays a critical role in identifying revenue leakage, resolving operational inefficiencies, ensuring billing compliance, and supporting revenue optimization initiatives. This position requires strong analytical skills, deep knowledge of revenue cycle processes, and the ability to translate business needs into technical solutions.

Requirements

High School Diploma or equivalent required
Minimum of 5 years of Revenue Cycle experience in a healthcare environment
Strong knowledge of end-to-end revenue cycle processes, including: Patient Access, Charge Capture, Coding, Claims (837I/837P loops and segments), Denials management, Cash posting and A/R follow-up
Knowledge of CMS billing regulations and reimbursement methodologies
Understanding of claim remittance codes, posting codes, and service codes
Experience working with clearing houses and payer systems
Proficiency in Microsoft Office (Excel, Word, Outlook)
Strong written and verbal communication skills
Demonstrated ability to communicate effectively with peers, leadership, providers, and vendors
Strong customer service and communication skills
Excellent written and verbal communication
Ability to communicate effectively with peers, senior management and providers.
Strong analytical and problem-solving skills
Exceptional attention to detail and commitment to quality
Excellent time management and ability to manage multiple assignments simultaneously
Ability to work independently and exercise sound judgment
Strong interpersonal skills with the ability to build productive relationships
Adaptability in a fast-paced, changing environment
Customer service–oriented mindset
Demonstrated initiative and accountability

Nice To Haves

Associate degree or bachelor’s degree in information systems, Business Administration, Healthcare Administration, Finance, or related field preferred
Experience with data visualization and reporting tools (e.g., Excel, SQL, Tableau, Power BI, Smart Sheets) preferred
Experience with major EHR systems (e.g., Epic, Cerner, Meditech, NX Avatar) preferred
Familiarity with DRG, APC, CPT/HCPCS methodologies preferred
Lean Six Sigma or process improvement certification preferred
Experience in predictive analytics or healthcare data modeling preferred
Experience in predictive analytics or machine learning models in healthcare preferred

Responsibilities

Provide real-time support to the RCM team to resolve production billing issues.
Address billing discrepancies identified through claim remittances and clearinghouse status reports.
Serve as the primary point of contact for EHR billing corrections and system-related revenue issues.
Research system functionality to support enhancements, new workflows, and billing optimization initiatives.
Maintain accurate documentation of system configuration changes within the EHR platform.
Analyze complex data sets to identify revenue leakage, denial trends, billing errors, and reimbursement variances.
Develop and maintain dashboards, KPIs, and standardized reporting to support operational and strategic decision-making.
Monitor performance metrics across the full revenue cycle, including patient access, coding, billing, denials, and A/R.
Assist with ad hoc and routine reporting needs as required.
Translate business requirements into clear technical specifications for IT and data teams.
Play a lead role in billing support and optimization within the EHR system.
Assist with system upgrades and ensure billing configurations remain intact during implementations.
Participate in validation testing for new design/build initiatives related to Practice Management functionality.
Assist in writing business requirements for new system builds and reporting enhancements.
Partner with EHR training teams to ensure billing-related training materials remain current and accurate.
Collaborate with Patient Access, HIM, Billing, Collections, and other departments to streamline workflows and resolve systemic issues.
Support projects related to EHR upgrades, payer contract changes, and revenue integrity initiatives.
Monitor regulatory and payer policy changes impacting reimbursement.
Participate in cross-functional meetings and provide analytical insight to support revenue-related initiatives.
Keep management informed of workflow disruptions, risks, or emerging concerns.
Evaluate business processes and recommend automation and efficiency improvements.
Support revenue optimization strategies and continuous improvement efforts.
Contribute to the development and implementation of standardized, streamlined billing content and workflows.

Benefits

HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
Dental insurance (Delta Dental)
Vision insurance (EyeMed)
Short-term and long-term disability insurance
Company-paid life insurance
401(k) plan available two months after start date
Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation
Paid time off accrues annually and begins with your first whole pay period.
Seven paid holidays
One floating holiday