Revenue Cycle Support Analyst

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

📋 Description

• Offer operational and analytical assistance for DHA UBO revenue cycle initiatives.

• Evaluate and analyze revenue cycle procedures across front-end, mid-cycle, and back-end operations.

• Support the review, maintenance, validation, and optimization of the Charge Description Master (CDM).

• Assess charge capture processes to pinpoint missing, incorrect, or inconsistent charges.

• Utilize knowledge of CPT, HCPCS, ICD-10-CM, modifiers, coding guidelines, and reimbursement requirements.

• Aid in coding, billing, and revenue integrity reviews and audits.

• Analyze claims, charges, denials, payments, and other revenue-cycle data to discover trends and areas for enhancement.

• Investigate coding, reimbursement, payer, and billing requirements, and relay findings to the project team.

• Assist in identifying and resolving discrepancies related to coding, billing, charge capture, and reimbursement.

• Support the development and tracking of revenue-cycle performance metrics and key performance indicators (KPIs).

• Aid in data validation and quality assurance activities.

• Create reports, trackers, presentations, process documentation, and standard operating procedures.

• Document findings and present recommendations to project leadership and client stakeholders.

• Participate in UBO meetings, working groups, audits, and initiatives for process improvement.

• Collaborate with multidisciplinary teams to further UBO objectives and meet contract deliverables.

⛳️ Requirements

• 5–7 years of experience in healthcare revenue cycle, medical coding, billing, revenue integrity, reimbursement, or related healthcare operations.

• Current professional coding certification, such as CPC, CCS, CCS-P, COC, CIC, or an equivalent nationally recognized certification.

• Proficient understanding of CPT, HCPCS, ICD-10-CM, modifiers, and healthcare coding guidelines.

• Knowledge of hospital and/or professional billing and reimbursement processes.

• Experience in reviewing and analyzing healthcare revenue-cycle data.

• Strong analytical, research, and problem-solving abilities.

• Capability to identify discrepancies and clearly document findings and recommendations.

• Excellent written and verbal communication skills.

• Proficient in Microsoft Excel, Word, PowerPoint, and Teams.

• Ability to independently manage multiple priorities and adhere to established deadlines.

• Capacity to obtain and maintain necessary DHA/DoD system and security access.

• Relevant professional experience may be considered in lieu of a degree.

🏝️ Benefits

• Comprehensive health insurance options.

• Retirement savings plan with company match.

• Opportunities for professional development and growth.

• Flexible working hours and remote work options.

• Generous paid time off and holiday schedule.