Revenue Cycle Analyst

S4CH; New York, Northern (NY, KY); Hybrid; USD 51,000 - 77,000; Full time

Benefits offered by this job

Life and disability coverage

Retirement savings plan

Commuter and transit benefits

Employee assistance program (EAP) with

Employee discount program

Provider incentive compensation

Provider license, certification, and r

Job summary

Solutions 4 Community Health (S4CH) is seeking a full-time Revenue Cycle Analyst who will identify and analyze billing issues, review accounts receivable, and provide weekly and monthly summaries. The role will identify denials and over/under payments, assist supervisors with denial processing and appeals, and help develop training for Billing staff.

The analyst will maintain knowledge of payer guidelines and tools (eCW, MDCoder, Spotfire, Cognos, Waystar) and produce analytics for client

Qualifications

• High school diploma or GED.
• AAPC – certified professional coder.

Responsibilities

• Review accounts receivable and provide a summary on a weekly / monthly basis
• Identify over / under payments and denials and provide findings
• Identify, communicate, and resolve interruptions in the revenue cycle that prohibit maximum reimbursement
• Assist the Supervisor of Revenue Cycle to ensure denials are worked through and appealed appropriately
• Assist the Manager of Revenue Cycle in developing training protocols for Billing staff
• Assist in overseeing, developing, and analyzing specific eCW tasks
• Maintain current knowledge of payer guidelines, fee schedules, contracts, and incentives
• Complete audits of claims and report findings
• Coordinate and participate in regular coding, registration, and site-wide audits for all clients, as well as provide education
• Provide analytics and trend reports for client monthly Executive meetings
• Ability to train providers on MDCoder
• Complete special projects and report findings

Education

AAPC – certified professional coder

Job description

Solutions 4 Community Health (S4CH) is seeking a full-time Revenue Cycle Analyst who will be responsible for identifying and analyzing billing issues, as well as participate in training programs for physicians and staff to increase knowledge and skills related to the revenue cycle. This individual will also maintain a current knowledge of payer guidelines and system knowledge, including eCW, MDCoder Spotfire, Cognos, and Waystar.

$51,139 – $76,709

• Review accounts receivable and provide a summary on a weekly / monthly basis
• Identify over / under payments and denials and provide findings
• Identify, communicate, and resolve interruptions in the revenue cycle that prohibit maximum reimbursement
• Assist the Supervisor of Revenue Cycle to ensure denials are worked through and appealed appropriately
• Assist the Manager of Revenue Cycle in developing training protocols for Billing staff
• Assist in overseeing, developing, and analyzing specific eCW tasks
• Maintain current knowledge of payer guidelines, fee schedules, contracts, and incentives
• Complete audits of claims and report findings
• Coordinate and participate in regular coding, registration, and site-wide audits for all clients, as well as provide education
• Provide analytics and trend reports for client monthly Executive meetings
• Ability to train providers on MDCoder
• Complete special projects and report findings

Requirements

• High school graduate / GED
• AAPC – certified professional coder

S4CH offers competitive compensation and a comprehensive benefits package, including:

• Life and disability coverage
• Retirement savings plan
• Commuter and transit benefits
• Employee assistance program (EAP) with access to confidential support and resources for personal and work-related issues
• Employee discount program for various products and services
• Provider incentive compensation program for quality and productivity
• Provider professional license, certification, and DEA fee reimbursement
• Opportunities for career advancement and professional development

About Solutions 4 Community Health (S4CH)

S4CH is a management services organization helping community health centers and other safety-net providers operate with greater clarity, efficiency, and impact. We bring strategy, operations, and technology together into a single platform to help teams spend less time navigating systems and more time improving care.

S4CH came out of the community health center world and knows what it takes to lead, grow, and sustain a mission-driven organization with limited resources. S4CH is led by a Board of Directors and a senior leadership team with a proven history of building and scaling community health infrastructure. Collectively, our leadership has guided the growth of a community health center system into one of the largest FQHC networks in the United States and brings a firsthand understanding of the challenges and opportunities community health centers face every day.

Equal Employment Opportunity

S4CH provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, sexual preference, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.

Americans with Disabilities Act

Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case-by-case basis in accordance with applicable law.