Medical Billing and Coding Expert

6 days ago

Melville, New York, United States The Bachrach Group Full time
Job Description

The Bachrach Group is seeking a highly skilled Revenue Cycle Performance Analyst to join their team. As a key member of the organization, this individual will play a critical role in analyzing revenue cycle data to uncover trends, identify issues, and spot opportunities for improvement.

Key Responsibilities:
  • Analyze revenue cycle data to identify trends, issues, and opportunities for improvement.
  • Develop and monitor key performance indicators (KPIs) for revenue cycle performance.
  • Review dashboards, work queues, collections, allowances, and denials to identify patterns and trends, and recommend corrective actions.
  • Prepare reports and presentations on revenue cycle metrics and performance for senior management.
  • Collaborate with finance, billing, and coding teams to streamline processes and resolve issues.
  • Conduct regular reviews to ensure compliance with regulations and internal policies.
  • Recommend and implement process improvements to enhance efficiency and minimize revenue leakage.
  • Provide training and support to staff on best practices and new processes.
  • Stay current on industry trends and regulatory changes affecting revenue cycle management.
  • Develop and maintain up-to-date departmental manuals, as needed.
  • Review aged trial balances and ensure efficient handling of accounts.
  • Communicate patient-related information to relevant departments, as necessary.
  • Ensure compliance with applicable laws and regulatory standards, staying informed on federal, state, and county regulations pertaining to collections.
  • Manage the department budget efficiently.
  • Perform other related duties as required and assigned.
Requirements:
  • Bachelor's degree in finance, healthcare administration, or a related field (Master's degree preferred).
  • Minimum of seven (7) years of experience in hospital patient access services, including three (3) years of supervisory experience.
  • Relevant certification (e.g., Certified Revenue Cycle Representative - CRCR) is a plus.
  • Strong analytical skills with proficiency in data analysis tools and software.
  • Experience in revenue cycle management, medical billing, and coding is preferred.
  • Excellent communication skills and the ability to collaborate effectively with various departments.
  • Detail-oriented with strong problem-solving abilities.
  • Advanced knowledge of hardware/software related to hospital registration/billing systems.
  • Proficiency in Epic application.
  • Excellent written and oral communication skills.
  • Knowledge of medical terminology, including CPT and ICD.
  • Computer literacy.
  • Ability to work independently on assigned tasks and accept direction on given assignments.
  • Knowledge of billing guidelines.
  • Ability to interact harmoniously with co-workers across all departments.
  • Professional appearance.
  • Ability to multitask effectively.

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