Revenue Cycle Analyst jobs in United States
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Cardiovascular Associates of America - CVAUSA · 2 weeks ago

Revenue Cycle Analyst

Cardiovascular Services of America (CVAUSA) is the largest private and independent cardiology network in the United States. They are seeking a Revenue Cycle Analyst who will be responsible for analyzing and optimizing all aspects of the revenue cycle specific to cardiovascular services, including monitoring payer compliance and ensuring accurate billing for complex procedures.

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Responsibilities

Prepare Monthly MOR RCM slides for meetings with practices
Continual development and maintenance of KPI dashboard for revenue cycle performance
Analyze financial impact of payer contract changes including fee schedule adjustments, reimbursement methodologies, and rate negotiations to support strategic decision-making
Develop and maintain revenue impact trackers to compare projected outcomes against actual performance, providing actionable insights for leadership
Monitor payer performance trends and identify variances in expected reimbursement, escalating issues and recommending corrective actions
Collaborating with RCM Sr Directors and practices on monthly projects
Prepare executive-level reports and presentations summarizing revenue cycle trends, payer performance, and financial impact
Support payer contract compliance audits by validating payment accuracy and identifying discrepancies
Ensure adherence to CMS, ACC, and payer guidelines for cardiovascular services
Identify process improvement opportunities to streamline workflows, reduce denials, and enhance cash flow
Work on projects with Managed Care team for underpayments and reimbursement opportunities

Qualification

Revenue cycle analysisData analysisExcel proficiencyKPI dashboardsCardiovascular codingAnalytical skillsProblem-solving skillsCommunication skillsCollaboration skills

Required

Bachelor's degree in Finance, Healthcare Administration, or related field
2+ years in revenue cycle, preferably in cardiovascular or specialty physician practice
Familiarity with coding and payer requirements
Strong analytical and problem-solving skills
Proficiency in Excel and data visualization tools
Excellent communication and collaboration abilities

Preferred

Knowledge of CPT codes for cardiovascular procedures
Familiarity with cardiovascular coding and payer requirements
Experience with KPI dashboards and cardiovascular-specific reporting tools

Company

Cardiovascular Associates of America - CVAUSA

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Headquartered in Orlando, Cardiovascular Associates of America aims to bring the best cardiovascular physicians in one network with the common mission of saving lives, reducing costs, and improving patient care through clinical innovation.

Funding

Current Stage
Growth Stage
Total Funding
unknown
2024-01-01Private Equity

Leadership Team

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Timothy Attebery
Chief Executive Officer
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Fang Xia
Chief Financial Officer
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Company data provided by crunchbase