What are the responsibilities and job description for the Revenue Cycle Analyst position at ScionHealth?
Description
At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job Summary
The Revenue Cycle Analyst is responsible for reviewing emergency department records to ensure all patient charges are complete, accurate, and properly supported by clinical documentation. The Analyst plays a key role in charge reconciliation and documentation validation to support revenue integrity and reduce lost charges in the emergency care setting.
Essential Functions
Education
At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job Summary
The Revenue Cycle Analyst is responsible for reviewing emergency department records to ensure all patient charges are complete, accurate, and properly supported by clinical documentation. The Analyst plays a key role in charge reconciliation and documentation validation to support revenue integrity and reduce lost charges in the emergency care setting.
Essential Functions
- Reviews all emergency department (ED) patient records daily to verify accurate and complete charge capture.
- Validates evaluation and management (E&M) acuity levels based on documented services and clinical findings.
- Confirms that ED procedure charges align with performed services and documentation.
- Audits charges related to IV/IM injections, IV fluid therapy, and supply usage for accuracy and completeness.
- Identifies and processes necessary charge corrections and additions based on supporting documentation.
- Enters and deletes charges through the order entry system in accordance with supervisory approval.
- Maintains a log of all processed charge corrections for audit and compliance purposes.
- Tracks and reports potential lost charges to support process improvement efforts.
- Provides weekly feedback to leadership regarding charge accuracy and documentation trends.
- Maintains patient confidentiality and adheres to HIPAA regulations at all times.
- Performs other administrative duties including sanitizing work area and supporting departmental needs.
- Participates in ongoing performance improvement and revenue cycle initiatives.
- Understanding of hospital billing practices, CPT/HCPCS codes, and charge entry workflows.
- Familiarity with EHR systems and basic knowledge of emergency department clinical processes.
- Detail-oriented with strong organizational and analytical skills.
- Ability to prioritize tasks, meet deadlines, and communicate effectively.
- Commitment to confidentiality, integrity, and compliance.
Education
- High school diploma or equivalent required.
- None required.
- Ability to read, write, and analyze medical documentation required.
- Experience in revenue cycle, medical billing, or coding preferred.
- Must be able to work independently and in high-pressure environments.
