Revenue Analyst II

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Develop, implement, maintain, and audit the hospital Charge Description Master (CDM).

• Ensure the CDM is precise and adheres to regulatory guidelines.

• Conduct pricing updates and assist in preparing and submitting the annual rate filing with the State of Arizona.

• Offer guidance and support to facility staff.

• Ensure accurate charge capture and direct Charge Master information to dependent systems.

• Lead or manage special projects related to CDM and reimbursement data.

• Act as a liaison between Revenue Services, support areas, department managers, and committees.

• Coordinate consultant and external-party CDM projects.

• Oversee internal, defense, and patient complaint audits concerning charge capture.

• Utilize analytical applications, Excel, and Access for financial analysis and decision support.

• Execute reimbursement forecasting, trend analysis, cost analyses, financial projections, and ad hoc reporting.

• Analyze billing system requirements and validate and maintain the Charge Master application.

• Investigate and resolve revenue and billing issues while developing corrective action plans.

• Support system, report, and conversion design and modifications.

• Monitor CDM compliance initiatives along with regulatory investigations and findings.

• Provide compliance information on regulations relevant to healthcare providers.

• Interact with leadership, department managers, and facility staff regarding CDM compliance and financial matters.

• Develop, implement, maintain, and audit the standard system-focused CDM.

• Enhance internal controls to support sound billing practices.

⛳️ Requirements

• Must reside in the state of Arizona.

• Bachelor’s degree in business or a healthcare field, or 4 years of relevant work experience in a business or healthcare setting.

• A minimum of 2 years of related experience is required.

• Preferably 5 to 7 years of progressive responsibility in CDM maintenance and revenue analysis.

• Current knowledge of revenue flow in healthcare financial systems is preferred.

• Extensive experience with inpatient and outpatient billing requirements of UB-04 and CMS 1500 billing forms is preferred.

• Proficiency in Excel and Access.

• Familiarity with CDM auditing and maintenance tools, such as Craneware.

• Understanding of healthcare reimbursement, billing systems, charge capture, and revenue integrity.

• Ability to conduct financial analysis, forecasting, trend analysis, cost analysis, and financial projections.

• Capability to research and resolve revenue and billing issues.

• Knowledge of healthcare-provider compliance regulations and findings from regulatory agencies.

🏝️ Benefits

• Remote work arrangement.

• Day shift.

• Career development opportunities.

• Benefits information is linked in the posting.