Revenue Analyst Jobs

About The Position

Requirements

• Bachelor’s degree.
• At least 6–8 years of experience in the healthcare industry.
• Coding credential (CPC, COC, CCS, CCS-P, RHIT, or RHIA), or intention to obtain one within 12 months of hire.
• Experience with ICD-10, HCPCS, and CPT codes.
• Four years of electronic medical record experience and a history of providing training to clinical operations and clinicians.
• Knowledge and experience with Medicare/CMS, Medicaid, AMA, and payer regulations, with the ability to interpret healthcare coding guidelines for compliant application.
• Understanding of front-end, mid-cycle, and back-end revenue-cycle processes.
• Understanding of data analytics and methodology.
• Skill in presenting complex concepts and data analysis to broad audiences, with verbal and written communication competence.

Responsibilities

• Identify charge-capture and reimbursement issues and resolutions using available mechanisms such as Epic, BOE SSRS reports, and Revenue Guardian.
• Analyze and troubleshoot charge capture, missing-charge resolution, and denial mitigation.
• Monitor revenue, usage, and Epic/EpicCare charging and billing data to assess performance, identify trends, and rectify patterns.
• Assist with and document the development of operational procedures and processes related to charge capture.
• Implement and maintain reports and work lists using applications such as Epic (Cogito), BOE, Visio, Microsoft Project, Microsoft Excel, and Microsoft Access.
• Use knowledge of other applications and internal and external data sources to enhance analysis, decision-making, and management reporting.
• Collaborate with internal customers to assess information requirements and develop custom and production reports.
• Maintain and continuously improve the quality and integrity of decision-making data; collaborate with organizational teams to ensure consistent reporting and recommend improvements to data quality.
• Develop and maintain reports and perform analysis to identify trends and provide feedback that improves Revenue Integrity and Enterprise Revenue Cycle performance.
• Collaborate with HIM, Coding, the Epic Core Team, and Revenue Cycle teams on performance-improvement opportunities.
• Educate and train physicians, advanced registered nurse practitioners, other billable providers, clinic managers, nurses, and other staff.

Benefits

• Benefits are available; details are provided on the UW staff benefits website.