Revenue Cycle Analyst

Primary responsibility of assisting the Revenue Cycle in maintaining adequate financial operations for Good Samaritan Hospital Association. Responsible for tracking GHSA financial performance within billing and coding. Analyzing reimbursement and contract performance to ensure claims and coded and paid appropriately.

· Professional Degree preferred.

· Revenue Cycle experience in a hospital setting preferred

-Examples: admissions personnel, business office, medical records, analyst

· 1-2 years office and data analysis experience required.

· Knowledge of hospital billing processes, coding (ICD-10, CPT/HCPCS) and reimbursement methodologies preferred.

· Excellent analytical, decision-making, and problem-solving skills.

· Demonstrated proficiency with Excel, reporting tools, and EMR systems (EPIC experience preferred).

· Strong communication skills and ability to work collaboratively with clinical, coding, billing, and accounting teams.

· High attention to accuracy and detail.

JOB REQUIREMENTS:

· Hardwiring Excellence – responsible to know and adhere to evidence-based leadership to achieve excellence.

· Professional attitude, leadership role and team member abilities. Maintains a positive professional role throughout the facility and community.

· Accountability for Safety

· Safeguarding the privacy and security of protected health information (PHI) in any form including electronic, written or oral.

JOB RESPONSIBILITIES:

Revenue Cycle Performance & Operations

· Monitor accounts, claim status, and revenue cycle workflows within EPIC to ensure timely billing, follow-up, and resolution.

· Conduct daily/weekly/monthly analyses of billing, coding quality, denials, reimbursement trends, and charge capture accuracy.

· Identify root causes of coding or billing errors and recommend corrective action plans.

· Support Coding and Business Office teams in ensuring documentation and coding align with CMS, payer, ACO, and compliance guidelines.

· Track payer performance, contract compliance, and underpayments; escalate trends as needed.

· Assist the Business Office Manager in developing KPI dashboards and reports to ensure overall revenue cycle efficiency.

Financial Analysis & Reporting

· Maintain accurate financial, reimbursement, and accounts receivable records.

· Responsible for Haaland Estates Basic Care Accounts Receivable review.

· Maintain a complete and systematic set of records for auditing and reporting purposes.

· Facilitate the workflows necessary for technology changes.

Compliance, Auditing & Performance Improvement

· Assist with internal audits, chart audits, and compliance reviews related to coding, billing, and reimbursement.

· Participate in revenue cycle and operational improvement initiatives.

· Assist with schedules and documentation required for cost reporting, year-end audit, and IRS Form 990.

Budgeting & Strategic Support

· Assist management with annual budget preparation, forecasting, productivity evaluation, policy development, and financial planning.

· Provide data and analysis to support strategic decision-making within the Revenue Cycle and Finance Department.

Performs other duties as assigned.

TYPICAL WORKING CONDITIONS: Work occurs in a typical office environment with consistent lighting and temperature control.

TYPICAL PHYSICAL DEMANDS: Approximately 90% of time is spent at a computer or desk. Requires lifting of reports and files up to 25 pounds. Requires normal range of vision and hearing.