Revenue Cycle Healthcare Analyst

As a Revenue Cycle Healthcare Analyst, you will play
a critical role in ensuring the accuracy and compliance of hospital and
physician charges related to clinical trials, research, and grants. You will:

• Conduct
  daily reviews of pre-billed, billed, and denied charges to distinguish
  between research-related and standard-of-care activities.
• Resolve
  issues involving charge edits, claims processing, and revenue cycle
  functions to optimize workflows.
• Utilize
  clinical documentation, coding (CPT, Modifiers, ICD-10), and billing data
  to correct and process charges efficiently.
• Communicate
  risks and compliance concerns to leadership, providing actionable
  recommendations for improvement.
• Collaborate
  with clinical research departments to serve as a subject matter expert for
  research-related billing activities.
• Analyze
  data trends, generate reports, and contribute to process enhancements that
  improve revenue cycle performance.
• Stay
  current on government regulations, clinical trial protocols, and industry
  standards to support organizational compliance.

Salary Range: $76,200-$158,800 annually

We are seeking a detail-oriented individual who has:

• A
  Bachelor's degree in a related area or equivalent experience.
• 5 or
  more years of experience in healthcare revenue cycle.
• CCS,
  CCS-P, COC, CPC, or CPB certification.
• Strong
  knowledge of CPT, Modifiers, ICD-10 coding.
• Proficiency
  in billing systems, claims processes, and IT systems such as EPIC and
  OnCore.
• Excellent
  analytical and problem-solving skills with the ability to resolve complex
  billing and compliance issues.
• Strong
  communication skills and the ability to collaborate effectively with
  cross-functional teams.
• RedCap
  experience (highly desired).