Revenue Cycle Analyst
3 weeks ago
Pennsylvania Medicine is dedicated to delivering exceptional patient care, conducting innovative research, and educating future healthcare professionals.
The Revenue Cycle Analyst will play a critical role in ensuring the accuracy and efficiency of our revenue cycle processes. This includes tracking and trending charge initiatives, medical and charge audits from commercial carriers and Medicare, to ensure revenue management, revenue opportunities, and revenue protection.
Key Responsibilities:
- Assist in coordinating charge description master and charge capture initiatives
- Update, coordinate, and monitor denials management via Cobius system
- Create and run reports that reflect analyses of RAC and commercial denial trends
- Assist with annual CDM reviews from a technical focus
- Oversight of daily charge reconciliation of assigned departments
- Gather data and reports for internal and external audits
Requirements:
- Bachelor's degree or Master's degree (preferred); equivalent combination of education and experience
- Knowledge of various hospital information and coding systems, including M/ICD-10-CM, CPT, and HCPCS
- 1-2 years' progressive experience in various hospital functions, including coding, reimbursement, compliance, billing, and/or other service areas
- Ability to work collaboratively with all levels of the organization
Special Skills and Other Requirements:
- Strong interpersonal, verbal, and written communication skills
- Strong organizational and time management skills
- Solid analytical and problem-solving skills
- Ability to handle and resolve recurring problems
Pennsylvania Medicine offers a comprehensive compensation and benefits program, including one of the finest prepaid tuition assistance programs in the region. We are an Equal Opportunity and Affirmative Action employer, committed to creating a diverse and inclusive work environment.
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