Revenue Cycle Analyst

About the role

The Revenue Cycle Analyst is responsible for local Revenue Cycle Management of Physician Services and hospital records to ensure all patient charges are complete, accurate, and properly supported by clinical documentation. The Analyst plays a key role in charge reconciliation and documentation validation to support revenue integrity and reduce lost charges.

Responsibilities

• Reviews all charge generating departments' patient records to verify accurate and complete charge capture.
• Validates evaluation and management (E&M) acuity levels based on documented services and clinical findings.
• Confirms procedure charges align with performed services and documentation.
• Audits charges related to IV/IM injections, IV fluid therapy, and supply usage for accuracy and completeness at the facility level.
• Identifies and processes necessary charge corrections and additions based on supporting documentation.
• Enters and deletes charges through the order entry system in accordance with supervisory approval.
• Maintains a log of all processed charge corrections for audit and compliance purposes.
• Tracks and reports potential lost charges to support process improvement efforts.
• Provides weekly feedback to leadership regarding charge accuracy and documentation trends.
• Maintains patient confidentiality and adheres to HIPAA regulations at all times.
• Performs other administrative duties, supporting departmental needs.
• Participates in ongoing performance improvement and revenue cycle initiatives.

Requirements

• Understanding physician services and hospital billing practices, CPT/HCPCS codes, and charge entry workflows.
• Familiarity with EHR systems (Athena) and basic knowledge of clinical processes.
• Detail-oriented with strong organizational and analytical skills.
• Ability to prioritize tasks, meet deadlines, and communicate effectively.
• Commitment to confidentiality, integrity, and compliance.

Qualifications

• High School Diploma or Equivalent including education equivalent to completion of secondary school or demonstrated ability to perform the essential functions of the role (preferred).
• Experience in revenue cycle, medical billing, or coding required.
• Must be able to work independently and in high-pressure environments.

Skills

• Communicator
• Creative
• Deadline-oriented
• Goal-oriented
• Problem-solver
• Strategic
• Driven by quality

Benefits

• Healthcare
• Retirement Plan
• Paid Time Off
• Work-Life Balance
• Miscellaneous Benefits

Pay

Details about pay are not specified in the job posting.

Schedule

Details about the schedule are not specified in the job posting.