Senior Revenue Cycle Analyst

Madison Health, Inc.; London (OH); Sur place; USD 75 000 - 95 000; Plein temps

Résumé du poste

Madison Health, located in London, OH, seeks a Senior Revenue Cycle Analyst to provide data analytics and system support for revenue cycle IT systems. The role covers charge capture, billing, coding, payment posting, denials management, and project-based collaboration with department SMEs to drive productivity and revenue reconciliation.

The ideal candidate will have experience with Epic EHR, healthcare billing (UB-04/1500), and CMS reimbursement methodologies, with a strong emphasis on privacy

Qualifications

• Bachelor's degree in accounting, finance, health information management, computer science, informatics, or related field preferred.
• 3-5 years of experience in CDM management, health information management, or hospital revenue integrity.

Responsabilités

• Evaluate and validate revenue data, trends, and KPIs using Epic and Excel.
• Act as a subject matter expert supporting internal teams and external stakeholders.
• Create reports to evaluate revenue cycle areas and prepare monthly dashboards.
• Oversee chargemaster updates and ensure correct CPT/HCPCS and revenue code mappings.
• Conduct routine audits to identify missed revenue opportunities and implement corrective measures.
• Monitor EHR work queues and respond to questions from revenue cycle operations.
• Analyze root causes for charge/claim edits and denials to adjust workflows.
• Perform daily, weekly, and monthly reconciliation and prepare reconciliation documents for finance.
• Initiate proactive research and provide leadership guidance on process improvements.
• Collaborate with cash management to address challenges and payer changes.
• Ensure HIPAA compliance in all revenue cycle IT workflows.

Connaissances

Data analytics

Revenue cycle knowledge

Project coordination

Formation

Bachelor's degree (accounting/finance/health information management/CS/informatics)

Outils

Epic

Excel

Description du poste

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Senior Revenue Cycle Analyst

London, OH, US

30+ days ago Requisition ID: 1513

About Madison Health

Madison Health is a community-focused healthcare organization dedicated to providing compassionate, high-quality care close to home. We believe our employees are the heart of our mission and are committed to fostering a supportive, collaborative workplace where every team member can thrive.

Why Join Madison Health?

• Supportive, team-oriented work environment
• Paid time off and holidays
• Opportunities for professional growth and development
• Meaningful work that makes a difference in our community

Position Summary

A senior revenue cycle analyst at Madison Health is responsible for providing data analytics and system support for revenue cycle IT systems to improve various functions within revenue cycle management, including charge capture, billing, coding, payment posting, and denial management. The analyst will function as a project manager, collaborating closely with subject matter experts in their respective departments to facilitate day-to-day business operations, productivity improvement programs, revenue reconciliation, benchmarking, and reporting. Candidates should have a thorough understanding of the overlap and interaction between administrative and financial IT systems, along with a thorough familiarity with electronic health record systems and other underlying systems and databases are integral to the EHR. This is an in-person position.

Key Responsibilities

• Evaluates and validates revenue data, trends, and key performance indicators to identify revenue cycle improvement opportunities. Uses reporting tools like Epic and Excel to provide data-driven insights.
• Acts as a subject matter expert, supporting internal team members and external stakeholders.
• Creates various reports to evaluate individual revenue cycle areas, such as accounts receivable. Prepares
• monthly reports and dashboards for monitoring of revenue cycle key performance indicators.
• Oversee the regular updates, additions, and deletions of billable items in the chargemaster. Ensure all CDM entries mapped to correct CPT/HCPCS and revenue codes, adhering to third-party and CMS guidelines.
• Conduct routine audits to identify missed revenue opportunities and implement corrective measures.
• Monitors and assesses various EHR work queues, answers questions submitted by revenue cycle operations.
• Analyze root causes for charge/claim edits, claim rejections, and insurance denials to adjust workflows and prevent future errors.
• Conducts daily, weekly, and monthly reconciliation procedures to identify posting inconsistencies; directs the information to the respective department for rectification. Prepares reconciliation documents for finance teams.
• Initiates proactive research and resolution of issues. Examines current and future state processes and provides guidance to leadership on problem-solving.
• Works with cash management to resolve challenges and adapt to industry trends and changes in payer processes.
• Ensures all workflows and data management within revenue cycle IT systems maintain patient privacy and abides by HIPAA regulation.

Required Qualifications

• Education: Bachelor's degree in accounting, finance, health information management, computer science, informatics, or related field preferred.
• Experience: Minimum 3-5 years of experience in CDM management, health information management, or hospital revenue integrity. Experience with Epic electronic health record system, including report functions and add-on functions required. Experience in healthcare billing requirements (UB-04 and 1500) and CMS Medicare and Medicaid reimbursement methodologies required.