REVENUE CYCLE ANALYST

REVENUE CYCLE ANALYST

About Us :

At Sinai Health System, Sinai Chicago, we take health care personally. Excellence in healthcare is about more than just medicine, technology, tests, and treatments; it is about really caring for people with dignity and respect. That is what we do. We are dedicated to providing the best care to meet the needs of people, for our community, for our patients and for you.

Position Purpose :

Provides support for the revenue cycle initiatives and conducts revenue cycle audits and reviews. Responsible for supporting and monitoring the performance of revenue cycle management standards, including CDM reviews and missing charge recovery. This position reports to the Manager of Revenue Integrity & Analysis.

Key Job Activities :

• Provides accurate data analysis and reporting relating to revenue cycle billing and coding.
• Periodically audits various elements of the revenue cycle, including patient accounts, and the charge description master (CDM), to monitor compliance and validate payment for services rendered. Assist with resolving revenue cycle compliance issues.
• Research revenue cycle issues at a detailed level to identify the root cause of recurring issues such as late charges and claim rejections.
• Collaborates with managers and staff to identify process flow and areas of improvement in order to maintain control over the revenue cycle process, so that departmental and organizational goals and objectives, such as accurate, timely and complete charge capture, can be achieved.
• Works with departments to establish elements of the revenue cycle for new services as need arises (charge description, master set up and reports etc.).
• Effectively communicate with Clinical departments, Patient Accounts, Information Systems, HIM and Managed Care departments.
• Evaluates the impact of current reimbursement / payment rules on various service lines, to ensure that legislative and regulatory changes impacting billing are quantified and communicated to all appropriate personnel.
• Performs other duties as assigned.

Education and Work Experience :

Knowledge and Skills :

Certifications / Licenses :

Workplace Conditions :

PHYSICAL DEMANDS :

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