RCM System Analyst
New
A
Accanto HealthHealthcare
US BasedFull-TimeMiddle
Salary68000 - 80000 USD per year
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Job Details
- Experience
- 5 years
- Required Skills
- SQLMicrosoft Power BITableauMicrosoft ExcelMicrosoft Office
Requirements
- High School Diploma or equivalent required
- Associate degree or bachelor’s degree in information systems, Business Administration, Healthcare Administration, Finance, or related field preferred
- Minimum of 5 years of Revenue Cycle experience in a healthcare environment
- Strong knowledge of end-to-end revenue cycle processes (Patient Access, Charge Capture, Coding, Claims, Denials management, Cash posting and A/R follow-up)
- Knowledge of CMS billing regulations and reimbursement methodologies
- Understanding of claim remittance codes, posting codes, and service codes
- Experience working with clearing houses and payer systems
- Proficiency in Microsoft Office (Excel, Word, Outlook)
- Experience with data visualization and reporting tools (e.g., Excel, SQL, Tableau, Power BI, Smart Sheets) preferred
- Experience with major EHR systems (e.g., Epic, Cerner, Meditech, NX Avatar) preferred
- Familiarity with DRG, APC, CPT/HCPCS methodologies preferred
- Lean Six Sigma or process improvement certification preferred
- Strong written and verbal communication skills
Responsibilities
- Provide real-time support to the RCM team to resolve production billing issues.
- Address billing discrepancies identified through claim remittances and clearinghouse status reports.
- Serve as the primary point of contact for EHR billing corrections and system-related revenue issues.
- Analyze complex data sets to identify revenue leakage, denial trends, billing errors, and reimbursement variances.
- Develop and maintain dashboards, KPIs, and standardized reporting.
- Translate business requirements into clear technical specifications for IT and data teams.
- Assist with system upgrades and ensure billing configurations remain intact during implementations.
- Collaborate with Patient Access, HIM, Billing, Collections, and other departments to streamline workflows.
- Monitor regulatory and payer policy changes impacting reimbursement.
- Evaluate business processes and recommend automation and efficiency improvements.
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