Revenue Cycle Analyst Job Description
Revenue cycle analyst
provides strategic direction and leadership in the delivery of all hospital and medical group revenue cycle related services including, but not limited to, patient access, coding, revenue integrity/charge capture and revenue cycle billing analytics and departmental AR management.
Revenue Cycle Analyst Duties & Responsibilities
To write an effective revenue cycle analyst job description, begin by listing detailed duties, responsibilities and expectations. We have included revenue cycle analyst job description templates that you can modify and use.
Sample responsibilities for this position include:
Define and document revenue cycle data sources of truth and data definitions per project
Accesses data bases to provide analytical support and reporting to revenue cycle teams and/or initiatives
Develop and maintain standards to measure the effectiveness of all aspects of the revenue cycle, including statistical data for monthly reports (denial reports, late charge reports)
Keeps apprised of rules and regulations affecting reimbursement and revenue cycle
Works with management on all Access/Revenue Cycle initiatives such as meaningful use of the EHR, telemedicine projects
Assists leadership in developing roadmaps for all applications in the revenue cycle solutions portfolio
Documents and determines business requirements, business processes, output requirements and technical feasibility of new or existing solutions within the revenue cycle solutions portfolio
Develops testing scenarios and documents outcomes for any and all solutions within the revenue cycle portfolio
Provide general troubleshooting and system support, implementation planning, testing, communication, and training for assigned IT solutions in One Revenue Cycle (ORC)
Summarizes data and provides directly commentary or insight into data results
Revenue Cycle Analyst Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Revenue Cycle Analyst
List any licenses or certifications required by the position: EPIC, HFMA, ASCP, HB, QMF, NAHAM, CPC, CIA, CISA, CPA
Education for Revenue Cycle Analyst
Typically a job would require a certain level of education.
Employers hiring for the revenue cycle analyst job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Business, Finance, Healthcare, Education, Accounting, Computer Science, Business/Administration, Associates, Mathematics, Statistics
Skills for Revenue Cycle Analyst
Desired skills for revenue cycle analyst include:
Revenue Cycle
Business analysis techniques
Functional areas of the revenue cycle
Current Procedural Coding
Medical Terminology
Strategic pricing
CDM and charge capture management
Auditing principles
Data streams
Desired experience for revenue cycle analyst includes:
Proficient with SAS and SQL programing skills, Microsoft Excel Pivot tables, Data Analysis Pack tool and Solver, other Microsoft applications
RHIA preferred or related health care credential
Requires detail oriented thinking and analytical skills
Advanced experience with Microsoft Excel, Access and/or Crystal Reports
Masters degree in Business, Accounting or equivalent industry experience
Demonstrated time management skills and ability to handle multiple priorities with shifting time frames, and meet deadlines
Revenue Cycle Analyst Examples
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Revenue Cycle Analyst Job Description
Job Description Example
Our growing company is searching for experienced candidates for the position of revenue cycle analyst. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for revenue cycle analyst
- Liaises with department heads and other hospital personnel and executives for the purposes of information gathering to enhance revenue cycle opportunities
- Integrate and analyze data from multiple data sources, determine root cause
- Serve as resource for special projects and priority assignments as needs are identified during the analysis process
- Assist in the initiation, conducting and coordinating of studies and analysis on resource allocation, financial program evaluation reviews
- Provide back-up coverage for the Analysts and assist Analyst, RCM III (Sr
- Assist Analyst, RCM III (Sr
- Responsible for logging all discrepancies and correcting nonpayment related discrepancies
- Work Discrepancy Report to determine types of discrepancies and assign appropriate reason codes
- Make all corrections of non-payment related discrepancies
- Forward all other discrepancies to Overpayment or Underpayment Analyst
Qualifications for revenue cycle analyst
- Excellent written and verbal communication telephone skills
- Advanced proficiency with Microsoft Excel, Microsoft Word, and Microsoft Access
- Minimum three (3) years of related analytical and/or consulting experience required
- Possesses technical expertise in some areas
- Proficient with PC applications including spreadsheet, word processing, and graphics packages
- Two (2) years demonstrated professional experience in a Analyst role
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Revenue Cycle Analyst Job Description
Job Description Example
Our company is looking for a revenue cycle analyst. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for revenue cycle analyst
- Create and maintain data for internal Revenue Cycle analysis and modeling and be able to explain these activities to a sophisticated analytic audience translate these activities into general terms for non-technical audiences and senior management
- Develop and maintain working relationships with Revenue Cycle departments, and external contacts as appropriate
- Identify and summarize basic characteristics in data and trends in data patterns related to Revenue Cycle information
- Develop reports for ongoing business activities
- Formally present data and information for analysis
- Works and communicates with vendors and internal customers to create data extract files
- Engages in decision making support by providing analysis of data based on user inquiries
- Create predictive models for proactive decision support
- Deploy reports and provide support for self service analysis
- Provide support to financial applications including Siemens INVISION Patient Management, Patient Accounting, Express Query, TRIF Interfaces, RPM and EMUE
Qualifications for revenue cycle analyst
- Light to Medium carrying / lifting up to 30 lbs
- Manual dexterity and ability to use both hands in a repetitive manner
- Must be able to work in an open office environment and possesses visual and hearing acuity necessary to discern information from the telephone, computer, printed forms, written and oral instructions from coworkers and others
- Bachelor’s in Computer Sciences/Information Systems/Business major or related field of study or equivalent experience with 3+ years’ direct experience working with large scale enterprise information systems
- 3+ years’ experience working in a healthcare related field
- Professional Project Management / facilitator experience with successful outcomes
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Revenue Cycle Analyst Job Description
Job Description Example
Our innovative and growing company is hiring for a revenue cycle analyst. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for revenue cycle analyst
- Provides technical and strategic input to leadership team to help drive transformational changes
- Provides recommendations on industry and application integration trends in analyzing and planning current and future IT needs
- Provides technical guidance on complex and cross application architecture challenges
- Participates in architecture brainstorming and design discussions with team members
- Responsible for coordinating activities of the technical and functional teams that include resolve system design issues, identify technical and infrastructure requirements, develop testing, training and conversion plans
- Coordinates appropriate resources in the development of foreign system and instrument interface specifications
- Assists in development of detailed project plans in regard to the build tasks necessary to complete the projects
- Assist project teams in planning and coordination of testing and training plans
- Monitors projects continually in terms of the timeline and overall quality
- Monitors exactly where the project is according to plan on a daily basis in order to predict problems earlier and isolate issues that need to be addressed because of the critical effects that they may have on other parts of the project
Qualifications for revenue cycle analyst
- Demonstrated ability to solve complex problems using independent judgment
- Strong analytical, troubleshooting and research skills required
- Must have RCM experience
- All applicants must already be Epic Certified in one of the above modules
- All applicants must have at least 5 years' experience as an Analyst
- All applicants must have supported at least two full Epic Implementations (start to finish)
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Revenue Cycle Analyst Job Description
Job Description Example
Our company is growing rapidly and is looking to fill the role of revenue cycle analyst. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for revenue cycle analyst
- Review submitted data for accuracy and integrity
- Assures quality of information technology solutions through business case and application level testing
- Assists with all activities related to new service lines, physician practice acquisitions, and new or existing business opportunities
- Assesses and determines how business requirements are integrated with upstream/downstream business workflows and technical processes
- Develops complex reports and queries to support business needs and customer requests
- Designs and prepares high-level presentation material for leadership
- Prepares and presents reports, charts, and tables that assist in making strategic decisions
- Assesses and documents current- and future-state business processes and workflows
- Be responsible for embedded Application support and/or Business Analysis for solutions in use by ORC Customers
- Provide continuous support and analysis for various simple to moderately complex ORC issues
Qualifications for revenue cycle analyst
- Computer literacy in PC environment and MS Office
- Requires strong communication skills to clearly and concisely communicate verbally and in writing with peers, superiors, payers, physicians, ancillary departments
- Strong knowledge of and experience with reporting packages (Business Objects ) and databases (SQL )
- Knowledge of statistics and experience using statistical packages for analyzing datasets (Excel, SPSS, SAS )
- Healthcare experience in data analytics, systems performance, and/or accounting
- Report writing/development experience
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Revenue Cycle Analyst Job Description
Job Description Example
Our company is growing rapidly and is hiring for a revenue cycle analyst. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for revenue cycle analyst
- Independently analyzes/interprets/explains complex report content/findings and makes recommendations for revenue cycle process improvements
- Utilizes knowledge of Revenue Cycle flow from Patient Access through Patient Accounting including master system files and profiles to coordinate appropriate workflow and processes
- Maintains Patient Accounting system master files, profiles, and revenue cycle systems for users as requested and assigned via requests, tickets and governmental updates
- Updating CDM (charge description master—CPT codes, standard prices, ) to ensure optimal billing fees and maximize collections
- Maintains a working knowledge of all assigned application structures, and operating practices
- Maintains daily billing reconciliation report including daily reconciliation of Infusion treatments and charges
- Daily review and audit of Evaluation Management charges for office practice visits
- Continuous review of billing operation process to ensure compliance with Medicare guidelines
- Reviews charts for accurate documentation by nurses
- Assess compliance with all external regulations (e.g., CMS requirements, other payer requirements )
Qualifications for revenue cycle analyst
- Proven ability to write in required query languages (FDL, SQL, etc)
- Experience creating dashboard user interfaces highly desirable
- Ability to analyze data and prepare concise revenue cycle reports
- Ability to understand, develop, and enhance spreadsheet and database applications for specific revenue cycle modeling, with proficiency in Excel, Access and Merlin
- Ability to effectively communicate verbally and in writing with all internal and external customers including management, staff, and physicians
- Experience and proficiency in preparing and conducting presentations and training programs