Revenue Cycle Operations Analyst

2 weeks ago


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

Why Join
Mountain Park Health Center?

At Mountain Park, you will play a vital role in enhancing community health and well-being.

  • Experience a nurturing workplace where colleagues become like family, fostering a culture of care that extends to our patients.
  • We prioritize your professional aspirations, personal well-being, and a harmonious work-life balance.
  • Our commitment to a positive workplace culture ensures that you receive the support and resources necessary for your growth and success.

ROLE SUMMARY:

This position is tasked with diagnosing and addressing challenges, taking initiative, and crafting solutions within the Revenue Cycle framework. Collaborate with both internal and external stakeholders of Mountain Park Health Center to pinpoint, troubleshoot, and implement enhancements to the Revenue Cycle.

KEY RESPONSIBILITIES:

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

REQUIREMENTS:

Essential Qualifications:

  • 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 similarly sized organizations.
  • Certified Professional Coder (CPC) with proficiency in Evaluation and Management (E/M) Coding.

Desirable Qualifications:

  • Experience in Federally Qualified Health Centers (FQHC).


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