Revenue Integrity & Denials Analytics Specialist

SouthEast Alaska Regional Health Consortium (SEARHC); Juneau (AK); On-site; USD 44,000 - 61,000; Full time

Benefits offered by this job

Retirement plan

Paid time off

Paid parental leave

Health insurance

Dental and vision

Job summary

SEARHC in Alaska seeks a Revenue Cycle Specialist to optimize and troubleshoot revenue cycle applications, collaborating with clinical and operational teams to design integrated solutions.

The role analyzes data to support initiatives, covers registration, coding, and billing compliance, and drives improvements in denials management and contract adherence. Strong problem solving and EHR experience are essential for success.

Qualifications

• Bachelor’s degree or equivalent combination of education and/or work experience required.
• 4 years of work experience may be exchanged for a bachelor’s degree.
• Professional certification preferred (AAHAM, AAPC, AHIMA, PTCB).

Responsibilities

• Optimization and troubleshooting of revenue cycle applications
• Collaboration with clinical, operational, supporting departments for integrated design solutions
• Analysis of data to support Revenue Cycle initiatives in identification, definition, resolution planning, and implementation for system & user deviations, inconsistencies, and process failures
• Serves as an internal resource on registration, authorizations, coding, CDI, CDM management, claims, edits, billing compliance, denials, remittance processing, and/or reporting & analytics
• Workflow analysis
• Payer contract analysis and ensuring payments consistent with negotiated contracts
• Identification of root causes of issues driving controllable denials, partnering with finance leadership to address implicated operational issues, workflow issues, and training gaps
• Performs quality assurance and validation tasks
• Provides education and guidance to patient revenue generating departments/providers to ensure appropriate charge capture

Skills

Critical thinking

Problem solving

Creative solutions

Microsoft Office

EHR applications

Education

Bachelor's degree

Tools

UB-04

CMS 1500

NCPDP D.0

Job description

SEARHC in Alaska seeks a Revenue Cycle Specialist to optimize and troubleshoot revenue cycle applications, collaborating with clinical and operational teams to design integrated solutions.

The role analyzes data to support initiatives, covers registration, coding, and billing compliance, and drives improvements in denials management and contract adherence. Strong problem solving and EHR experience are essential for success.