REVENUE CYCLE SYSTEMS ANALYST jobs in United States
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Montefiore Health System · 18 hours ago

REVENUE CYCLE SYSTEMS ANALYST

Montefiore Health System is a healthcare organization seeking a Revenue Cycle Systems Analyst to support billing system updates and ensure revenue integrity. The Analyst will collaborate with operations and IT to implement fixes, conduct reimbursement analysis, and identify opportunities to enhance net revenue while maintaining compliance in billing practices.

Child CareHealth CareHospitalNursing and Residential CareWomen's

Responsibilities

Support Revenue Cycle with implementing billing system updates needed to ensure revenue integrity, and maintain compliant billing
Assist with root cause analysis for charging, coding, billing, denials related issues and work collaboratively with operations and IT to implement EPIC build fixes
Support the Revenue Cycle Operations Department through the identification, quantification and execution of special projects identifying areas of increased net revenue opportunities related to charging
Provide reimbursement analysis, assist with bill problem resolution, and provide coverage guidelines for billable services to reduce or prevent future claim denials
Review current practices as they relate to system interfacing, account audits, contractual language, and any other system or department that may impact the financial health of this institution

Qualification

Revenue Cycle AnalysisFinancial AnalysisCoding/Compliance CertificationEPIC Applications CertificationsManaged Care TerminologiesAnalytical SkillsIT Systems KnowledgeCommunication SkillsHospital Charge Master ExperienceICD-10-CM KnowledgeCPT-4 KnowledgeMS Access ExperienceCrystal Reports Knowledge

Required

Bachelor's degree or equivalent in Economics/Statistics, Finance, Business Management, Finance, Healthcare administration or a related field required
Three to five years of related health care administration/financial or revenue cycle analysis experience required
Experience in financial analysis, budgeting, business and process analysis, working knowledge of third party reimbursement is required
Strong analytical skills and excellent communication skills required
Knowledge of managed care terminologies and ability to interpret hospital bills, explanation of benefits, and medical records
Strong computer and systems application skills

Preferred

Coding/Compliance Certification preferred
Resolute Hospital Billing Administration, Charge Router and/or Charge Master Epic Applications Certifications, preferred
Strong knowledge of IT systems such i.e. Crystal Reports preferred
Experience in MS Access preferred
Knowledge of coding guidelines, both ICD-10-CM and CPT-4 is preferred
Hospital Charge Master experience and/or billing or coding experience focused on the CDM is preferred

Company

Montefiore Health System

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Montefiore Health System is an academic health system that provides groundbreaking research and technology, for diverse populations.

Funding

Current Stage
Late Stage
Total Funding
$7M
Key Investors
National Institutes of Health
2024-01-25Grant· $7M
2023-03-21Grant

Leadership Team

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Mavis Ogun
Joint Heirs(CEO)
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Steven Meisinger, CPA
Vice President & Chief Financial Officer – Care Management Organization (CMO)
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Company data provided by crunchbase