Reimbursement Analyst - Hospital CDM & Revenue Integrity/Analysis

Job Summary

To collect, analyze, and develop reimbursement reports. To monitor monthly charges, collections, and RVU's by department. To assist the Associate Director of Revenue Cycle department management with presentations, data reporting for to senior leadership and upper management. To provide and monitor benchmark data as it pertains to reimbursement.

Education & Experience

• Required: Degree (Associate's or Bachelor's) and one (1) year of experience in reimbursement, financial analysis, or revenue cycle management.
• Certifications, Licenses Or Registration Required: N/A

Knowledge, Skills & Abilities

• Strong analytical and problem-solving skills,
• Excellent communication and interpersonal abilities,
• Detail-oriented with a high degree of accuracy,
• Able to manage multiple priorities in a deadline-driven environment,
• Strong organizational and documentation skills.

Responsibilities

• Prepares monthly, annual, and ad hoc financial reports and analyses, develops presentations, and recommends course of action to senior management.
• Works with appropriate personnel to analyze and formulate monthly and yearly collection goals.
• Collaborates with staff to coordinate distribution of plans and reports.
• Assists the physician revenue cycle director with monitoring of monthly charges, collections, and RVU's by clinical department and by payor.
• Summarizes findings in monthly reports and distributes to staff and senior management.
• Conducts analysis of special projects as assigned.
• Coordinates with staff to develop performance data reports to support collection activities.
• Develops special ad hoc reports from various systems and develops performance data reports to support the clinical departments with improving charge entry and collection performance.
• Maintain liaison with staff and management in the preparation of financial reports.

Physical And Environmental Demands

• Requires occasional working hours significantly beyond regularly scheduled hours,
• Occasional travelling to offsite locations,
• Occasional activities subject to significant volume changes of a seasonal/clinical nature,
• Frequent work produced subject to precise measures of quantity and quality,
• Occasional bending,
• Occasional lifting and carrying up to 75 pounds,
• Occasional climbing,
• Occasional crouching/stooping,
• Occasional driving,
• Occasional kneeling,
• Occasional pushing/pulling,
• Occasional reaching,
• Occasional sitting,
• Occasional standing,
• Occasional twisting,
• Occasional walking.