Senior Revenue Cycle Analytics & Systems Lead

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

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