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Emory Healthcare · 1 day ago

Revenue Cycle Denials Analyst

US-GA-Atlanta

Full-time

Hybrid

Mid Level

$32.81/hr - $44.29/hr

3+ years exp

Emory Healthcare is a leading healthcare provider committed to offering comprehensive health benefits and professional development opportunities. They are seeking a Revenue Cycle Denials Analyst responsible for analyzing and reporting data related to billing denials, providing insights to improve revenue cycle performance, and ensuring compliance with regulations.

Health CareMedical

H1B Sponsor Likely

Responsibilities

The System Denials Analyst, is responsible for gathering, analyzing, and reporting data related to both hospital and professional billing denials across the healthcare system

Reporting to the Director of Enterprise Denial Management, this role provides critical insights into denial trends and patterns by pulling data from various sources, identifying areas for process improvement, and supporting efforts to optimize the organization's revenue cycle performance

The position focuses on data accuracy, trend analysis, and preparing reports to assist leadership in making data-driven decisions to reduce denials and improve overall Data Collection and Reporting

Gather and compile denial data from multiple systems for both hospital and professional billing

Ensure data accuracy and completeness before generating reports

Trend & Root Cause Analysis:

Analyze denial patterns to identify root causes, collaborating with cross-functional teams to implement strategies that prevent future denials

Process Improvement Support:

Support the denial management team by providing data insights that inform process improvement initiatives aimed at reducing denial rates

Regulatory Compliance:

Ensure all denial management activities comply with federal, state, and payer-specific regulations

Cross Functional Collaboration:

Work closely with departments such as Billing, Coding, and Case Management to streamline processes and improve communication

Reporting Tools:

Develop and maintain denial dashboards, ensuring that reporting tools are accurate, up-to-date, and aligned with organizational needs

Data Integrity:

Ensure data integrity in all reporting efforts, reconciling discrepancies and resolving data quality issues as needed

Stakeholder Communication:

Prepare and deliver reports and presentations on denial trends, financial impact, and process improvements to senior leadership and cross-functional teams

Key Metrics Monitoring:

Monitor key performance indicators (KPIs) related to denial management, and provide insights into areas needing attention, improvement, or intervention

Ad Hoc Analysis:

Perform ad hoc data analyses and reporting based on requests from leadership or other departments to support ongoing denial management and financial initiatives

Qualification

Epic CertificationData AnalysisHealthcare Billing SystemsSQLTableauCPT CodingICD-10 CodingHCPCS CodingAnalytical SkillsOrganizational SkillsProblem-Solving Skills

Required

Epic Certification required

Bachelor's degree in Business, Healthcare Administration, Data Analytics, or a related field is required

Minimum of 3 years of experience in healthcare data analysis, billing, or revenue cycle operations, with a focus on denial management

Proficiency in data analysis tools and software (e.g., Excel, SQL, Tableau) as well as Epic Cogito

Strong analytical, organizational, and problem-solving skills

Familiarity with healthcare billing systems, coding standards (CPT, ICD-10, HCPCS), and denial management processes

Epic Reporting Certifications and/or Certified Revenue Cycle Executive (CRCE) or similar certification is required

Benefits

Comprehensive health benefits that start day 1

Student Loan Repayment Assistance & Reimbursement Programs

Family-focused benefits

Wellness incentives

Ongoing mentorship, development, and leadership programs

And more

Company

Emory Healthcare

Glassdoor3.6

Emory Healthcare is the largest healthcare system in the state of Georgia., United States.

Founded in 1953

Atlanta, Georgia, USA

10001+ employees

http://www.emoryhealthcare.org/

H1B Sponsorship

Emory Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (48)

2024 (68)

2023 (30)

2022 (25)

2021 (12)

2020 (7)