Revenue Analyst

Responsibilities:

• In charge of maintenance, compliance, and integrity of the Hospital Billing (HB) and Professional Billing (PB) Charge Description Master (CDM), along with related charge review edits and router workqueue logic.
• Analyze and configure charge capture workflows, managing technical charging requests, and the coordination of research, training, and communication with hospital administrators affected.
• Collaborate with external pricing vendors to manage and execute the implementation of both facility pricing architecture and professional fee schedules, ensuring accurate CPT/HCPCS and revenue code compatibility for accurate billing detail and compliance regulations.
• Stay updated of all CDM related policies and procedures as necessary.
• Maintain all CDM requests across both Hospital Billing (HB) and Professional Billing (PB) structures for charge code additions, revisions, and deletions.
• Continuously monitor, track, and resolve Epic charge review workqueues (WQs) and billing exceptions to minimize claim delays and decrease Days in A/R.
• Coordinate with Information Systems to build, test, and implement approved charge codes within the EHR, ensuring seamless integration with Charge Router logic and clinical workflows.
• Thoroughly analyze each request for accurate pricing alignment based on vendor strategy tables, establishing fee schedules, CPT/HCPCS, and revenue code compatibility.
• Research current and future complex Medicare, Medicaid, and commercial payer regulations to ensure optimal revenue preservation, prevent resource leakage, and maintain absolute billing compliance.

Qualifications:

• Associates degree or higer with minimum five (5) years of direct, dedicated CDM maintenance experience and a minimum of seven (7) years of general healthcare revenue cycle experience (such as Revenue Integrity, Medical Coding, or Billing), or High School Diploma / GED with minimum of eight (8) years of direct, dedicated CDM maintenance experience and a minimum of ten (10) years of general healthcare revenue cycle experience (such as Revenue Integrity, Medical Coding or Billing).
• Knowledge of medical terminology, medical billing and reimbursement methodologies, UB-04 revenue codes, CPT and HCPCS Level II coding systems, applicable coding modifiers.
• Epic CDM experience.
• Epic Hospital Billing certification.
• Current AAPC or AHIMA certification.
• Proven ability to organize and track project-type work.
• Working knowledge of CMS/HCFA regulations, payer guidelines, and revenue cycle compliance standards.
• Strong analytical, problem-solving, and critical thinking skills.
• Demonstrated attention to detail and high degree of accuracy.
• Proficiency in Microsoft Office applications, including Excel, Word, PowerPoint, and Access.

Here is more information:

Position: Revenue Analyst

Term: 6 month contract to hire

Schedule: Remote, Monday-Friday 8am-5pm CST

Pay: $35-40/hr