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Healthcare Revenue Cycle Analyst

$35/hr Starting at $1K


  • Identifies charge description master improvements, assess root cause and implements improvements
  • Research technical guidance in the chargemaster software, CPT/HCPCs guide, CMS website, etc. works with Revenue cycle task force to resolve billing issues and promote regulatory compliance
  • Works with department direct ancillary departments with CDM review and revisions.
  • Stays current with legal and regulates to ensure accurate charge capture
  • Assists clinical areas and Ancillary charges in coding and billing and analyzes, qualifies and communicates reimbursement trends.
  • Identify and implement effective and efficient processes to improve and streamline revenue cycle, claim denial management from third party payors and analyze in accordance with payor guidelines. 
  • Develop process and procedure manual for revenue cycle and claim denials according to payor contracts. Including billing processes of Medicare, Medicaid, and all commercial specified insurances.
    • Monitor and manage the entire project revenue cycle process and takes necessary steps to ensure that claims are reimbursed to its full capacity, and applicable accreditation standards are met.
    • Conducts regular billing and contracts projects updates with key stakeholders. Prepare reports and develop contract and billing project update meetings for leadership involved to ensure project timeline and success will be met.
    • Regularly performs claim denial analysis, reports data for denial and write off statistics. Collaborates with management team establishing short- and long-term goals in revenue cycle. 
    • Ensure Billing conflicts resolution to all parties.
    • Administration of hospital and clinic Charge Description Master
    • Participate in long-range planning for program/project implementation. Anticipate challenges and barriers to successful project outcomes.
    • Communicate with a variety of vendors, contractors, and hospital staff, in meetings, through written communication, presentations and conversation.

About

$35/hr Ongoing

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  • Identifies charge description master improvements, assess root cause and implements improvements
  • Research technical guidance in the chargemaster software, CPT/HCPCs guide, CMS website, etc. works with Revenue cycle task force to resolve billing issues and promote regulatory compliance
  • Works with department direct ancillary departments with CDM review and revisions.
  • Stays current with legal and regulates to ensure accurate charge capture
  • Assists clinical areas and Ancillary charges in coding and billing and analyzes, qualifies and communicates reimbursement trends.
  • Identify and implement effective and efficient processes to improve and streamline revenue cycle, claim denial management from third party payors and analyze in accordance with payor guidelines. 
  • Develop process and procedure manual for revenue cycle and claim denials according to payor contracts. Including billing processes of Medicare, Medicaid, and all commercial specified insurances.
    • Monitor and manage the entire project revenue cycle process and takes necessary steps to ensure that claims are reimbursed to its full capacity, and applicable accreditation standards are met.
    • Conducts regular billing and contracts projects updates with key stakeholders. Prepare reports and develop contract and billing project update meetings for leadership involved to ensure project timeline and success will be met.
    • Regularly performs claim denial analysis, reports data for denial and write off statistics. Collaborates with management team establishing short- and long-term goals in revenue cycle. 
    • Ensure Billing conflicts resolution to all parties.
    • Administration of hospital and clinic Charge Description Master
    • Participate in long-range planning for program/project implementation. Anticipate challenges and barriers to successful project outcomes.
    • Communicate with a variety of vendors, contractors, and hospital staff, in meetings, through written communication, presentations and conversation.

Skills & Expertise

AnalyticsContract CoordinatorData ManagementHealthcare Revenue Cycle ReimbursementLeadershipManagementMedical Billing AuditingMedical CodingProject ManagementReports

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