Revenue Analyst

Kinston Community Health•Kinston, NC

12h•Hybrid

About The Position

The Revenue Analyst plays a critical role in supporting the financial health of Kinston Community Health Center by analyzing revenue cycle data, identifying trends and opportunities, and providing actionable insights to optimize reimbursement. This position focuses on FQHC-specific revenue streams - including Medicaid, Medicare, prospective payment system (PPS) encounter rates, sliding fee scales, 340B, and grant-funded services.

Requirements

Associates degree in Finance, Accounting, Healthcare Administration, Business Analytics, or related field, bachelor’s degree preferred
1–2 years of experience in healthcare revenue cycle analysis, preferably in an FQHC, community health center, or ambulatory care setting.
Strong proficiency in Microsoft Excel (pivot tables, formulas, charts), data visualization tools (Power BI preferred), and EHR/billing systems.
Knowledge of FQHC reimbursement methodologies, 340B, Medicaid/Medicare rules, and healthcare coding/billing processes is highly preferred.
Excellent analytical, problem-solving, and communication skills with attention to detail.
Ability to work independently in a fast-paced, mission-driven environment.
Ability to establish and maintain effective working relationships
Ability to communicate effectively both verbally and in writing
Ability to maintain confidentiality and comply with HIPAA requirements.
Must be able to work nights and weekends as departmental needs arise.
Must successfully pass required background checks in accordance with organizational policy.
Must comply with all organizational credentialing and screening requirements.

Nice To Haves

Bachelor’s degree preferred
Power BI preferred
Knowledge of FQHC reimbursement methodologies, 340B, Medicaid/Medicare rules, and healthcare coding/billing processes is highly preferred.

Responsibilities

Analyze revenue cycle performance using data from the EHR/billing system (e.g., NextGen), producing regular reports on key metrics such as days in A/R, clean claim rate, denial rates, collection ratios, and net revenue.
Monitor and forecast net patient revenue, contractual adjustments, bad debt, and payer trends specific to FQHC reimbursement models (wrap claims, encounter rates, etc.).
Develop and maintain dashboards (Excel, Power BI, or similar) to visualize revenue performance, variances, and opportunities for improvement.
Conduct root cause analysis on denials, underpayments, and revenue leakage; recommend process improvements.
Perform detailed reviews of charge capture, coding accuracy, claims data, and payment posting to ensure complete and accurate revenue recognition.
Support month-end revenue reconciliation, accruals, and financial statement preparation.
Identify opportunities to enhance revenue through improved documentation, charge capture, payer contract management, and value-based care initiatives.
Assist with UDS reporting, cost reports, HRSA compliance, and other regulatory filings related to revenue.
Partners with Billing, Health Informatics and Information Management (HIIM), and Patient Access teams to address issues impacting revenue (e.g., no-show reduction, provider productivity, documentation gaps).
Participate in PDSA quality improvement projects focused on revenue cycle efficiency.
Support audits (internal/external) by preparing documentation and responding to inquiries.
Stay current on changes in FQHC regulations, payer policies (Medicare, Medicaid, commercial), and coding guidelines (ICD-10, CPT, HCPCS).
Handle ad-hoc financial analyses and special projects as requested by the Director of Revenue Cycle or CFO.
Provide training and support to revenue cycle staff on data tools, reporting, and best practices.
Assist with payer contract negotiations and credentialing data analysis when needed.
All other duties as assigned.