Revenue Cycle Manager

2 days ago


Deerfield Beach, Florida, United States Wolters Kluwer Full time
About the Opportunity

We are seeking a highly skilled Medicare Compliance Specialist to join our team at Wolters Kluwer. The ideal candidate will have a strong understanding of healthcare reimbursement systems and be proficient in analyzing CMS rules as it relates to claims and processes.

You will be responsible for conducting data analysis to ensure our systems provide accurate and timely claim submission analysis for our clients. This includes identifying trends, issues, and changes in CMS rules and claims data.

The successful candidate will work closely with a cross-functional team to document requirements and plan enhancements based on existing knowledge and research. You will also participate in agile ceremonies and collaborate with cross-functional teams to develop and maintain reports and dashboards to monitor claims performance and compliance.

This role requires 3+ years of experience in Medicare/Medicaid Compliance Analysis, specifically in Revenue Cycle management, and proficiency in data analysis tools such as SQL, Excel, and Tableau. Additionally, you should have experience with healthcare claims software and recent experience working with Epic or Cerner systems is a plus.



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