Revenue Cycle Solutions Analyst

2 weeks ago


Phoenix, Arizona, United States Mountain Park Health Center Full time

Why Join
Mountain Park Health Center?

As a valued member of the Mountain Park team, you will play a crucial role in enhancing the health of our community.

  • Experience a nurturing environment where colleagues become like family, fostering connections that enhance patient care.
  • We prioritize your professional aspirations, personal well-being, and work-life harmony.
  • Our commitment to a positive workplace culture ensures that employees receive the support and resources necessary for growth and success.

ROLE SUMMARY:

This position is dedicated to diagnosing and addressing challenges, taking initiative, and formulating solutions within the Revenue Cycle. Collaborate with both internal and external stakeholders to identify, troubleshoot, and implement enhancements to the Revenue Cycle.

KEY RESPONSIBILITIES:

  • Keep team members updated on new or revised standards, systems, procedures, forms, and manuals through meetings and effective communication.
  • Propose alternative strategies and methods for problem-solving.
  • Support the team in maintaining accountability for their performance.
  • Proactively create solutions to identify, troubleshoot, and implement enhancements to the Revenue Cycle Management (RCM).
  • Facilitate efficient daily operational workflows related to charging, capturing, coding, and billing procedures that align with payer policies.
  • Analyze patient payment data to identify trends, losses, and discrepancies.
  • Collaborate with eCW and CAT teams to focus on continuous improvement and optimization of systems related to billing and coding processes.
  • Utilize organizational software and tools for conducting analyses, provider audits, and monitoring quality initiatives related to payers/plans.
  • Investigate, analyze, and resolve coding and billing discrepancies.
  • Perform additional duties as necessary.

QUALIFICATIONS:

Minimum Requirements:

  • Bachelor's Degree or equivalent experience in coding and revenue cycle management.
  • A minimum of five years of experience in healthcare revenue cycle management within organizations of comparable size.
  • Certified Professional Coder (CPC) with expertise in Evaluation and Management (E/M) Coding.

Preferred Qualifications:

  • Experience in Federally Qualified Health Centers (FQHC).


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