Revenue Cycle Analyst

Job Summary

A company is looking for a Revenue Cycle Analyst for the Medicare Review Team.

Key Responsibilities:

• Review outpatient hospital facility, clinic, and physician documentation to determine appropriate code assignments for services provided
• Analyze and apply Commercial and Managed Care contracts to facilitate proper pricing
• Navigate hospital EMR and billing systems to conduct patient-specific clinical documentation research and validate hospital reporting

Required Qualifications:

• Bachelor's degree, or HS diploma with 2+ years' experience in hospital coding, billing, resolution, revenue cycle, or related data analytics
• Organized self-starter with strong analytical and critical thinking skills
• Proficiency with Excel and technology
• Experience in Medicare and Managed Care billing and coding is preferred
• Ability to interact effectively with consulting teams and communicate project results