The Revenue Cycle Analyst will support revenue cycle initiatives for compliance and revenue optimization for the organization. This position will bridge gaps and bring transparency to clinical, front-end, mid-cycle, and back-end workflows to enable the organization to make timely, strategic, and tactical decisions. Performs detailed, quantitative analysis work to support increased revenues, decreased costs, accelerated cash flow, improved clinical outcomes, and operational flow efficiencies.
Compensation
We are committed to providing wage ranges for all open positions. Please note that the specific compensation for this role will be determined based on experience, education, and internal equity considerations. The wage range for this position is $59,404.80 - $83,865.60 annually. This range reflects the base salary for this position.
Key Accountabilities
- Works collaboratively with the Senior Revenue Cycle Analyst and other clinical and finance departments. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, in conjunction with strong analytic and organizational skills.
- Responsible for researching and aiding in processes to achieve optimized legitimate reimbursement for the organization. Works with multidisciplinary teams to assess and improve denial management with reports and feedback to help educate and implement necessary changes.
- Collects appropriate data and applies proper audit procedures to test patient charge systems and procedures. Prepares reports documenting audit findings, conclusions, and recommendations.
- Applies innovative thinking and business knowledge to review back-end processes, from intake to collection, to maximize collections through the accurate and complete capture of all charges for efficiency and profitability.
- Continuously learns and applies improvement methodologies, spreading successful innovations throughout the institution.
- Maintains strong working relationships with departments to educate and support revenue department managers and directors regarding their roles and responsibilities related to revenue capture.
- Reviews and distributes regulatory coding and billing information from CMS and third-party payors to the appropriate departments. Ensures compliance and accurate reimbursement for services provided.
- Uses data analytic principles to build queries and extract data for analysis and interpretation. Analyzes complex datasets and uses relational databases for ad-hoc reports from the EHR.
- Assists in maintaining the integrity of the charge description master through annual updates, periodic audits, and ongoing review. Aligns chargemaster pricing with payor reimbursement and market pricing.
- Works with the Senior Revenue Cycle Analyst to develop financial analyses of service lines, including ROI, forecast modeling, P&L statements, financial proformas, break-even analysis, and dashboards for leadership.
Qualifications
- Bachelor’s degree in Accounting, Business Administration, or Finance.
- Minimum 2-3 years of strong financial and data analysis experience, with experience extracting data from relational databases.
- High-level analytical, problem-solving, and critical thinking skills.
- Expertise in Excel and Access.
- Ability to produce clear reports, presentations, and business correspondence following professional standards.
- Healthcare financial operations experience preferred.
- Knowledge of Relative Value Units, CPT, ICD-10, documentation, coding rules, UB04, and 1500 claims forms preferred.
Work Schedule and Hours
- 80 hours per two-week pay period
- Monday-Friday, 8:00 AM - 4:30 PM, with flexibility
- Additional Shift Differential Pay
Additional benefits include paid time off, insurance options, retirement plan, tuition reimbursement, on-site education, parking, and more. Northfield Hospital + Clinics is known for a positive work environment and quality patient care, with locations in Northfield, Lakeville, Farmington, Faribault, and Kenyon.