Revenue Cycle Analyst - Cascade, United States - Corewell Health

Corewell Health Cascade, United States

1 week ago

Description

Job Summary

Coordinates the maintenance of assigned departmental revenue cycle business systems, chargemasters, or other business processes, ensuring accuracy and consistency with departmental requirements and regulatory agency standards.

Accountable for tasks impacting organizational cash flow, compliance, patient satisfaction, and confidentiality. Monitors and trends data for assigned revenue cycle departments and tasks.

Essential Functions

Reviews and makes recommendations regarding hospital or professional charges / fee structure, revenue cycle business systems, or related processes.

Researches patient access, coding, and billing requirements when new procedures or regulatory changes are introduced.

Coordinates required updating of CPT / HCPCS codes, bill edits, third party payer changes or other revenue cycle regulatory requirements.

Assists in the resolution of revenue cycle issues, such as patient access, billing or denials, and develops systems to proactively address trends.

Facilitates the development of strategies for the evaluation and implementation of assigned tasks, such as recommended changes to business systems, reimbursement methodologies, or revenue cycle efficiencies, working collaboratively with teams / task forces / consultants.

Communicates, collaborates, and acts as a consultant to others within and outside the department related to assigned tasks, in order to facilitate continuity and coordination of services.

Acts as a liaison to outside consultants and keeps upper management / revenue cycle team informed concerning progress / problems.

Assesses the educational needs of others related to area of accountability and coordinates / implements appropriate teaching strategies or makes appropriate referrals.

Qualifications Required
Bachelor's Degree

or equivalent in related field

2 years

of relevant experience different areas of the health system such as billing, coding, reimbursement, technology & information solutions, and/or finance.

Required Physical Demands

Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs

Waist to Waist > 5 lbs: Seldom up to 10 lbs

Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs

Waist to Overhead > 5 lbs: Seldom up to 10 lbs

Bilateral Carry > 5 lbs:
Seldom up to 10 lbs

Unilateral Carry > 5 lbs:
Seldom up to 10 lbs

Pushing Force > 5 lbs:
Seldom up to 10 lbs

Pulling Force > 5 lbs:
Seldom up to 10 lbs

Sitting:
Frequently

Standing:
Occasionally

Walking:
Occasionally

Forward Bend - Standing:
Seldom

Forward Bend - Sitting:
Occasionally

Trunk Rotation - Standing:
Seldom

Trunk Rotation - Sitting:
Occasionally

Reach - Above Shoulder: Seldom

Reach - at Shoulder or Below: Seldom

Handling:
Occasionally

Forceful Grip > 5 lbs:
Seldom

Forceful Pinch > 2 lbs:
Seldom

Finger/Hand Dexterity:
Frequently

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