The Revenue Analyst serves as a liaison between the clinical division directors and the revenue cycle team regarding revenue and compliance. The Revenue Analysts monitor all inpatient and outpatient revenue on a weekly and monthly basis looking for trends and troubleshooting anomalies. Responsible for regularly scheduled charge auditing for each assigned area. Process improvement recommendations, and ongoing communications with the clinical managers. Revenue Analysts are required to have detailed knowledge of assigned areas, including the operational functions and procedures, understanding the flow of charges, and charging information systems. Revenue Analysts are responsible for supporting and suggesting charge capture, timely charge entry and revenue improvement initiatives.
Revenue Analysts must stay current with and interpret governmental regulations and billing guidelines for all service lines. Ongoing communication with the clinical directors is required for process improvement recommendations and collaboration on any regulatory and billing changes. Requires a detailed understanding of reimbursement rules for hospitals, post-acute care, and physician services. Revenue Analysts are responsible for assisting with revenue cycle systems and revenue reporting related tasks. This includes but is not limited to maintaining the charge master for all inpatient and outpatient services, systems building, testing and maintenance of all charge services, daily revenue error files, reporting, dashboards and assisting other departments with any revenue projects. Revenue Analysts collaborate daily with all areas of the revenue cycle, IT and clinical areas for all new services being built in the system based on EMR interfaces to the billing system. Charge testing is the responsibility of the analyst to ensure revenue is captured prior to project end and meeting all regulatory guidelines.
