Revenue Cycle Systems Analyst

TEKsystemsHartford, CT
$75,000 - $90,000Remote

About The Position

The Revenue Cycle Business Systems Analyst is a key member of the Central Billing Office (CBO), supporting the revenue cycle operations of a multi-site ambulatory surgery center (ASC) management portfolio. This role is responsible for analyzing, configuring, and optimizing the systems and workflows that drive consistent, scalable billing performance across all managed surgery center locations. Serving as the operational and technical bridge between CBO billing staff, facility-level teams, and IT/vendor partners, this analyst ensures that technology solutions support accurate charge capture, timely claims submission, and maximum reimbursement across the enterprise.

Requirements

  • Business systems analysis
  • Requirement gathering
  • RCM
  • Revenue Cycle
  • IT
  • Configuring
  • Analyst
  • technology
  • payer enrollment
  • SQL
  • Epic
  • Query
  • Analysis
  • Data

Responsibilities

  • Support and optimize CBO revenue cycle workflows across the full billing lifecycle, including surgical scheduling interfaces, charge capture, facility fee billing, claims submission, payment posting, denial management, and AR follow-up, for multiple ASC locations.
  • Serve as a system subject matter expert for CBO staff and facility-level billing contacts, providing guidance on platform usage, workflow standards, and billing best practices.
  • Gather and translate business requirements from CBO leadership and facility stakeholders into functional specifications for system enhancements, workflow improvements, or new implementations.
  • Configure, test, and support revenue cycle platforms used across the managed portfolio, including ASC practice management systems, clearinghouses, and reporting/analytics solutions.
  • Assist in the onboarding of new ASC locations into CBO systems and workflows, including data migration support, system setup, and staff training.
  • Manage and maintain the charge description master (CDM) across facilities, ensuring consistent and accurate mapping of surgical procedures, implants, and supply charges to appropriate CPT/HCPCS codes and revenue codes.
  • Support multi-payer enrollment, fee schedule build and maintenance, and EDI transaction management (837I, 835, 270/271, 278) across all managed facilities.
  • Identify and resolve systemic claim edit, rejection, and denial trends that span multiple locations; escalate payer-specific issues and coordinate with CBO billing teams on remediation.
  • Support system upgrades, payer requirement changes, and regression testing with minimal disruption to CBO and facility operations.
  • Maintain thorough documentation including workflow diagrams, CDM change logs, system configuration records, user guides, and training materials.
  • Assist in the evaluation and implementation of new revenue cycle technologies and vendor solutions relevant to CBO and ASC operations.
  • Support the creation and submission of routine state regulatory reports, ensuring accuracy, completeness, and adherence to applicable submission deadlines.
  • Ensure system configurations and billing workflows comply with CMS Ambulatory Payment Classification (APC) guidelines, ASC-covered procedures requirements, payer contracts, and applicable state and federal regulations.
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