Revenue Cycle Analyst jobs in United States
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MDaudit · 1 day ago

Revenue Cycle Analyst

MDaudit is a company focused on maximizing revenue for healthcare organizations. They are seeking a Revenue Cycle Analyst to lead the design, analysis, and implementation of digital revenue cycle initiatives, contributing to growth by analyzing user workflows and financial data to enhance compliance and financial performance.

Health CareManagement ConsultingSoftware

Responsibilities

Analyze and understand trends in coding practices, claim denials, and reimbursement variances to recommend new or updated content assets
Partner with Engineering and CSM teams to design analytic tools and dashboards for revenue integrity monitoring
Provide education and feedback to clinical documentation and coding staff based on clinical content assets
Support testing and optimization of MDaudit system modules related to pre/billing, denials, and regulatory updates
Utilize strong data analysis skills and in-depth knowledge of healthcare coding to ensure product initiatives comply with regulatory standards and industry best practices
Integrate clinical, financial, and operational insights to optimize performance across the entire revenue cycle
Collaborate with clients to drive measurable improvements in accuracy, compliance, and revenue recovery throughout the digital revenue cycle

Qualification

Certified Coding Specialist (CCS)Healthcare revenue cycle analyticsCPTICD-10HCPCS codingMS-DRGsAPR-DRGs knowledgeEHRRCM proficiencyVerbalOrganizational skillsWritten communicationProblem-solving skillsLeadershipMentoringTime management skills

Required

Ability to resolve problems independently
Strong organizational skills
Ability to influence stakeholders
Ability to employ sound judgment to prioritize needs and tasks
Demonstrated verbal and written communication skills
Ability to concurrently manage multiple complex projects with high quality results
Ability to be flexible and respond positively in dynamic environments
Bachelor's degree in Healthcare Administration, Health Information Management, Finance, or a related field required
Certified Coding Specialist (CCS) required
Strong knowledge of MS-DRGs, APR-DRGs, and clinical validation
Minimum 5 years in healthcare revenue cycle analytics, coding audits, or compliance auditing within a healthcare or health technology environment
Strong knowledge of CPT, ICD-10, and HCPCS coding standards and payer billing guidelines
Proficiency with EHR, RCM, or analytic tools
Excellent analytical, organizational, and problem-solving skills with a focus on accuracy and data integrity
Proven leadership and mentoring skills
Proficient decision making, time management and communication skills
Excellent knowledge and skill using Microsoft Office Suite

Preferred

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Documentation Integrity Practitioner (CDIP), or Certified Documentation Integrity Specialist (CDIS) preferred
Prior experience in a technology-enabled or digital health environment preferred
Familiarity with revenue cycle process automation and compliance analytics tools preferred
Commitment to continuous education on evolving billing regulations and coding standards preferred

Benefits

Medical, Dental & Vision Coverage & 401K (with company match)
Unlimited vacation policy
Peer Nominated Awards & Recognition

Company

MDaudit

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MDaudit is an award-winning AI-enhanced continuous risk monitoring platform and trusted revenue integrity partner to healthcare organizations nationwide.

Funding

Current Stage
Growth Stage

Leadership Team

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Nick Barnes
Chief Financial Officer
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Graeme Hennessey
Chief Revenue Officer (CRO)
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Company data provided by crunchbase