Revenue Cycle Analyst

Children's Healthcare of Atlanta • GA

82d

About The Position

A key contributor to strategic business projects related to revenue cycle performance. Under the direction of Revenue Cycle leadership this position is responsible for evaluating processes and identifying process deficiencies. Updates charge master as new and updated regulatory and contractual requirements are identified by Revenue Cycle, Reimbursement, and Operations. Produces reporting as well as providing analytic analysis of the data to Revenue Cycle leadership and other stakeholders at all levels of the organization. Maintains close working relationship with Information System & Technology business partners and serves as subject matter expert on content of Epic system master files and functionality related to pricing and charging, e.g., EAP, Epic Resolute Hospital and Professional Billing, and other applications. Coordinates activities and initiatives with IS&T, Budget and Decision Support, Finance and other departments as related to Revenue Cycle systems, metrics, and results.

Requirements

• Minimum of one-year experience with health care Revenue Cycle, Finance, Consulting, or other applicable area.
• Required to obtain Epic proficiency within one year of hire.

Nice To Haves

• Project management experience.
• Experience in Microsoft Access and SQL reporting.
• Experience working with Epic systems.

Responsibilities

• Runs, reviews, interprets, analyzes, and validates Revenue Cycle reports. Ensures the integrity of data provided to all areas of the revenue cycle and other areas of the organization is necessary for good decision making.
• Partners with Revenue Cycle leaders and other stakeholders across the organization to identify and address operational issues related to Revenue Cycle performance.
• Conducts revenue cycle analysis and provides trends as needed by Revenue Cycle leadership team to identify improvement opportunities.
• Works as key team member on internal initiatives and projects related to Revenue Cycle data, analytics, and reporting.
• In conjunction with Revenue Cycle leadership, coordinates Revenue Cycle system enhancements, upgrades and replacements with IS&T, Supply Chain, and other areas/departments. Partners with IS&T and outside vendors to provide support for related to systems, data, and hardware.
• Maintains charge description master and coordinates Manager, Revenue Cycle with clinical departments to ensure that charges are assessed and appropriate for patient services provided.
• Assists in researching and resolving issues related to charging and billing for patient services.
• Conducts research and interprets regulations and other requirements to determine charging and billing alternatives and compliance issues in conjunction with operational and Reimbursement staff members.
• Facilitates appropriate charge capture and charge reconciliation.
• Acts as a resource and reference for the system related to charges, charge compliance/capture, and reimbursement/collection impacts.
• Has detailed knowledge of core Revenue Cycle systems and all bolt on software solutions.

What This Job Offers

• Job Type: Full-time
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees