Revenue Cycle Analyst-Physician Practices (FT)

At Ashe Memorial Hospital, we are driven by our Mission Statement, "To meet the needs of the community by delivering patient-centered, high quality health care."

Ashe Memorial Hospital is proud to be Voted Ashe's Best Place to Work 2022, 2023, & 2024! Come be a part of our dynamic team; you'll join Ashe's 2022 & 2023 Best Hospital, Best Surgeon, Best Physician, Best Nurse, and Best Medical Practice!  This is your opportunity to make a large difference in a small community!

Hours: 1st shift, Monday through Friday | No Supervisory Responsibilities | No Travel | Pay commensurate with experience

JOB SUMMARY:  

The Revenue Cycle Analyst plays a critical role in optimizing the physician practice revenue cycle operations across the outpatient clinics, including Rural Health Clinics and Primary Care Practices.  This position is responsible for analyzing performance metrics, ensuring compliance with payer regulations, developing and delivering staff training, and leading process improvement initiatives. This role will focus on
claims billing and denial management/resolution, education, data analysis and ensuring accurate billing, coding and reimbursement.  The analyst collaborates across multiple clinics and departments to enhance financial outcomes and operational efficiency while maintaining regulatory integrity. 

Education:

• Bachelor's degree in healthcare administration, Business, Finance, or related field preferred

Experience:

• Minimum of 2 years of experience in healthcare revenue cycle operations, compliance, or analytics.

License / Certifications:

• CRCR (Certified Revenue Cycle Representative) - Preferred
• Billing Certification of CPC - Preferred
  

ESSENTIAL FUNCTIONS:

Data Analysis & Reporting

• Develop, maintain, and analyze revenue cycle reports and dashboards (e.g., denials, AR days, cash collections, payer mix).
• Identify and analyze trends and variances to identify opportunities for improvement.
• Present actionable insights to clinic leadership and providers.

Claims Billing and Denial Resolution

• Management and resolution of claim hold.
• Collaborate with billing teams to resolve issues and prevent future denials.

Compliance Oversight

• Monitor payer guidelines and regulatory changes (e.g., CMS, Medicaid, commercial payers).
• Ensure billing, coding, and reimbursement practices align with current regulations.
• Support internal reviews and assist in resolving compliance-related issues.

Training & Education

• Review provider documentation and coding for accuracy.
• Deliver education to improve CPT/HCPCS/ICD-10 coding, Charting Standards, and Payer Specific requirements for billing.
• Maintain training materials and update them regularly based on regulatory changes.

Charge Capture & Workflow Optimization

• Recommend process improvement to enhance revenue capture and charge entry.
• Collaborate with Patient Financial Services, HIM, and clinical departments to identify and resolve bottlenecks.

Refund & Reconciliation Support

• Assist with credit balance reviews and refund processing.
• Reconcile payments and adjustments for clinic services.

Must be willing to receive all required vaccinations (i.e., flu shot, etc.). All new employees working must be fully vaccinated as a condition of employment (unless the new hire has requested and received an exemption). Candidates for employment will be notified of this policy requirement prior to the start of employment. After receiving an offer of employment, new employees must provide proof of vaccination or request and receive an exemption before beginning work.

To apply, please fill out an application, attach a cover letter, and resume. Include gaps in employment and reasons for separation.

Criminal background check and pre-employment drug screen required upon conditional job offer.

***Benefits apply the 1st of the month following employment, per policy.***

*For full job description and benefits, please contact Human Resources.

Ashe Memorial Hospital is an equal opportunity employer and, as such, considers individuals for employment according to their abilities and performance.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.  Employment decisions are made without regard to race, age, religion, color, sex, national origin, physical or mental disability, marital or veteran status, sexual orientation, genetic information, or any other classification protected by law. All employment requirements mandated by local, state, and federal regulations will be observed.