REVENUE CYCLE ANALYST

Sinai Chicago • Chicago, IL

2d

About The Position

The Revenue Cycle Analyst supports revenue cycle initiatives and conducts audits and reviews. The position supports and monitors revenue cycle management standards, including charge description master (CDM) reviews and missing-charge recovery. It provides data analysis and reporting related to revenue cycle billing and coding, helps resolve compliance issues, researches recurring problems, and works with departments to improve revenue cycle processes and charge capture. The role also helps establish revenue cycle components for new services and evaluates the billing impact of reimbursement rules and regulatory changes. This position reports to the Manager of Revenue Integrity & Analysis.

Requirements

• Bachelor's degree in Applied Science, Business, Finance, or a related field.
• One to two years of experience in patient accounting, billing, or clinical work involving medical terminology, CPT/ICD-9 coding, DRG/APC payment classifications, and UB/HCFA regulatory requirements.
• Basic knowledge of hospital billing, finance, revenue cycle, and managed care.
• Specific knowledge of Medicare and Medicaid billing and coding regulations.
• Strong analytical skills.
• Excellent verbal and written communication skills.
• Experience with Microsoft Word, Excel, and Access.
• Basic knowledge of ICD-9-CM and CPT coding.

Nice To Haves

• Additional training in revenue cycle processes and healthcare payment methodologies.
• Previous audit experience.
• Experience with EPIC and MEDITECH software systems.

Responsibilities

• Provide accurate data analysis and reporting related to revenue cycle billing and coding.
• Periodically audit revenue cycle elements, including patient accounts and the charge description master (CDM), to monitor compliance and validate payment for services rendered.
• Assist with resolving revenue cycle compliance issues.
• Research revenue cycle issues in detail to identify root causes of recurring problems, including late charges and claim rejections.
• Collaborate with managers and staff to identify process flows and improvement opportunities that support control of the revenue cycle and departmental and organizational goals.
• Work with departments to establish revenue cycle elements for new services, such as charge description master setup and reports.
• Communicate effectively with Clinical departments, Patient Accounts, Information Systems, HIM, and Managed Care departments.
• Evaluate the impact of current reimbursement and payment rules on service lines, and quantify and communicate legislative and regulatory changes affecting billing to appropriate personnel.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level