Revenue Cycle Analyst

MINIMUM REQUIREMENTS:

EDUCATION/CERTIFICATIONS/LICENSES/DEGREES

• High school graduate or equivalent
• An Associate's or Bachelor's degree preferred
• Current Epic certifications required or ability to gain certification within 180 days (6 months):
• ARCR: Resolute Hospital Billing & Charging
• ARCR: Resolute Professional Billing Revenue Integrity-Charge Capture and Coding
• Healthcare certification (AAHAM, NAHAM, HFMA), Epic Certification, and/or training preferred
• Coding certification and/or successful completion of CPT/HCPCS coding classes preferred

EXPERIENCE

• Minimum of three years of hospital and professional chargemaster, coding, and/or billing work experience in the healthcare Revenue Cycle
• Recent experience with hospital charge capture workflows, chargemaster maintenance, CPT, HCPCS, and Revenue Codes
• Experience with Epic, Mosaic, Experian, Craneware, Optum, 3M, or other EMR and Revenue Cycle solutions software required
• WebEx, Teams, or other remote meeting/communication platforms
• Project management, technical implementations, and change management experience a plus

JOB SUMMARY: 

Coordinator SBO Revenue Integrity

This position is responsible for driving and supporting the Revenue Integrity function for the Single Billing Office (SBO) at Bay Area Hospital, in coordination with our Epic Community Connect partners. Supports clinical departments responsible for working on decentralized edits. Is responsible for working and resolving edits assigned to Revenue Integrity. Serves as a resource to both internal departments and the Community Connect charge master team and will help with identifying CPT codes, revenue codes or payer-specific charging requirements for services provided.

SKILLS AND ABILITIES

• Demonstrates the ability to use a personal computer, office equipment, and various software programs applicable to the position
• Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook & Excel), and the ability to manipulate large data files required
• Familiarity with industry best practices and standards
• Ability to translate complex problems & concepts
• Effective and professional communication skills, both verbal and written
• Exhibits the ability to maintain confidentiality, think and act independently with minimal supervision
• Ability to use initiative and judgment skills in carrying out responsibilities
• Good interpersonal skills and communication with all levels of management
• Excellent team building and management skills
• Organizational skills that promote the ability to work well without direct supervision, manage time effectively, and appropriately prioritize multiple assignments to meet project deadlines
• Effective collaboration and communication with a variety of individuals, both internal and external, including multidisciplinary teams
• Ensures recommendations support adherence to all federal, state, and other regulatory requirements.
• Flexibility in job schedule to provide user support and advance project goals
• Maintains regular, consistent, and punctual attendance at the assigned job location

PHYSICAL/MENTAL/ENVIRONMENTAL REQUIREMENTS

• Requires extensive sitting with periodic standing and walking
• May be required to lift up to 20 pounds
• Requires significant use of a personal computer, phone, and general office equipment
• Needs adequate visual acuity, ability to grasp and handle objects
• Needs the ability to communicate effectively through reading, writing, and speaking in person or telephone
• May require off-site travel