PathGroup · 2 days ago
Revenue Cycle Analyst
PathGroup is a healthcare organization focused on providing quality medical services. The Revenue Cycle Analyst is responsible for managing medical records, conducting quality assurance, and preparing for audits while supporting the Coding Department.
BiotechnologyHealth CareHealth Diagnostics
Responsibilities
Provide accurate data for Legal requests, such as ledgers, itemized statements, 1500s and medical records as quickly and accurately as possible
Retrieve activities for the HEDIS requests
Ability to accurately interpret medical documentation to ensure they are providing accurate data requested (lab results/orders)
Review Pre and Post payments
Provide a detail-focused review of clinical documentation to ensure quality, regulatory compliance, and audit readiness. Maintain all medical records and charts
Assist in utilization review and research programs
Handle documentation management to ensure documents received by the coding department are scanned into the correct patient chart
Assist the department in requesting additional clinical documentation if needed
Abide by all regulatory, company and departmental regulations, policies and procedures, including the Corporate Compliance Program
Contribute to a positive work climate and to the team effort of the department and company
Support PathGroup's mission, vision, goals and management decisions
Become familiar with and abide by the Corporate Compliance Program and all corporate policies, including the Privacy and Security policies
Work with other departments within PathGroup and subsidiaries
Nothing in the job description restricts management's right to assign or reassign duties and responsibilities to this job at any time
Other duties as assigned
Qualification
Required
Responsible for medical records, quality assurance/utilization review and audit preparation
Provide accurate data for Legal requests, such as ledgers, itemized statements, 1500s and medical records as quickly and accurately as possible
Retrieve activities for the HEDIS requests
Ability to accurately interpret medical documentation to ensure they are providing accurate data requested (lab results/orders)
Review Pre and Post payments
Provide a detail-focused review of clinical documentation to ensure quality, regulatory compliance, and audit readiness
Maintain all medical records and charts
Assist in utilization review and research programs
Handle documentation management to ensure documents received by the coding department are scanned into the correct patient chart
Assist the department in requesting additional clinical documentation if needed
Abide by all regulatory, company and departmental regulations, policies and procedures, including the Corporate Compliance Program
Contribute to a positive work climate and to the team effort of the department and company
Support PathGroup's mission, vision, goals and management decisions
Become familiar with and abide by the Corporate Compliance Program and all corporate policies, including the Privacy and Security policies
Company
PathGroup
PathGroup provides anatomic and clinical pathology services in Tennessee, Kentucky, Georgia, Illinois, Indiana, and North Carolina.
Funding
Current Stage
Late StageTotal Funding
$19.5M2022-05-13Private Equity
2016-08-01Private Equity
2010-01-12Debt Financing· $19.5M
Recent News
MarketScreener
2025-09-09
Company data provided by crunchbase