Revenue Cycle Analyst

Tenet•Detroit, MI

About The Position

Under limited direction and according to established policies and procedures, the Revenue Cycle Analyst coordinates complex corporate revenue cycle studies. The role analyzes data, identifies process issues and opportunities to increase billable services and reduce back-end rejections, and coordinates and performs corporate audits to ensure charges are captured and billed appropriately. The analyst determines impacts on overall operations, explains findings, develops responses and solutions, and communicates with appropriate personnel. The position prepares reports that analyze and interpret data and identify trends affecting the revenue cycle, while maintaining expertise in applicable regulatory and agency requirements, laws, and statutes. The analyst reviews and approves or denies adjustments, charity, refunds, and re-classes related to individual patient accounts; clears edits and issues from QS, Rapid Response, or other sources; supports the month-end close process; and communicates continuously with business units to promote process improvement. The role also resolves edits to support timely and accurate billing and performs other assigned duties. The position is associated with DMC Harper University Hospital, a specialty referral hospital known for clinical expertise and innovative research, with Centers of Excellence in neurosciences, bariatric surgery, vascular services, multidisciplinary cardiovascular services, hypertension, stroke prevention, and heart failure.

Requirements

Associate degree or equivalent experience.
Maintain expertise to support compliance with regulatory and agency requirements, laws, and statutes.

Nice To Haves

Bachelor’s degree preferred in Business Administration, Healthcare Administration, or a related area.

Responsibilities

Coordinate complex corporate revenue cycle studies.
Analyze data to identify process issues and opportunities to increase billable services and reduce back-end rejections.
Coordinate and perform corporate audits to ensure charges are captured and billed appropriately.
Determine the operational impact of findings, explain effects, develop responses and solutions, and communicate with appropriate personnel.
Prepare reports that analyze and interpret data and identify trends affecting the revenue cycle.
Maintain expertise to support compliance with regulatory and agency requirements, laws, and statutes.
Review and approve or deny adjustments, charity, and refunds related to individual patient accounts.
Review and approve or deny re-classes posted to individual patient accounts.
Clear edits and issues presented on QS, Rapid Response, or other sources, as appropriate.
Provide support during the month-end close process.
Communicate continuously with business units and provide feedback for process improvement.
Resolve edits to ensure timely and accurate billing (DNSP).
Perform other assigned duties.