Sr. Revenue Cycle Management Systems Analyst

About the role

The Senior Revenue Cycle Management (RCM) Systems Analyst plays a strategic role in optimizing healthcare revenue cycle operations through advanced data analysis, system configuration, and process improvement.

Responsibilities

• Lead the development and optimization of SQL queries and data pipelines across multiple data sources including Databricks and SQL Server
• Design and maintain advanced PowerBI dashboards for executive-level reporting and strategic decision-making
• Perform complex data analysis using Excel and BI tools to identify trends, revenue leakage, and operational inefficiencies
• Configure, maintain, and troubleshoot RCM systems, including setting up profiles, tables, and procedure manuals
• Ensure compliance with State and Federal billing regulations, including CPT/HCPCS and ICD-10 coding standards
• Identify and resolve system errors and root cause issues within the revenue cycle
• Collaborate with leadership, billing staff, and other departments to align documentation with billing requirements
• Recommend and implement changes to optimize RCM workflows, improve efficiency, and ensure timely reimbursements
• Manage relationships with RCM system vendors and oversee system upgrades and implementations
• Develop and implement strategies to improve revenue cycle processes, reduce denials, and enhance collections
• Mentor junior analysts and contribute to team goals through knowledge sharing and leadership

Requirements

• Bachelor’s degree in Finance, Healthcare, Management, Information Technology, Data Analytics, or related field required
• A minimum of six (6) years of experience in revenue cycle management, medical billing, or RCM systems required
• Expertise in SQL, PowerBI, Excel, and healthcare financial systems required
• Experience with system administrator functions for configuration and maintenance of billing systems required
• Strong communication and leadership skills required