Massachusetts Licensed Revenue Cycle Analyst

Job Summary

A company is looking for a Revenue Cycle Claims Analyst with experience in healthcare and coding.

Key Responsibilities

• Analyze and process healthcare claims to ensure accuracy and compliance with coding standards
• Review and resolve claim edits and denials based on knowledge of coding systems
• Maintain knowledge of billing, collection, and reimbursement requirements in various healthcare settings

Required Qualifications

• Bachelor's degree in Business, Healthcare, or a closely related field or equivalent work experience
• 1 to 3 years of experience in healthcare, coding, finance, or revenue cycle management
• Knowledge of claim edits NCCI and MUE
• Working knowledge of CPT/HCPCS and ICD-10-CM-PCS diagnosis codes
• Understanding of drug NDC numbers and unit conversion