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5 часов назад

Revenue Cycle Support Analyst (Healthcare Revenue Cycle)

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Мэтч & Сопровод

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Описание вакансии

Текст:
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TL;DR
Revenue Cycle Support Analyst (Healthcare Revenue Cycle): Supporting Defense Health Agency revenue-cycle operations through medical coding, Charge Description Master management, charge capture, billing, reimbursement, and revenue-integrity analysis with an accent on data accuracy, coding compliance, and process improvement. Focus on analyzing claims and payment data, identifying discrepancies and lost-revenue opportunities, and developing performance metrics, reports, and standard operating procedures.

Location: Remote; access to DHA/DoD systems and security authorization is required.

What you will do

  • Provide operational and analytical support for Defense Health Agency Uniform Business Office revenue-cycle initiatives.
  • Review front-end, mid-cycle, and backend healthcare revenue-cycle processes.
  • Maintain, validate, review, and optimize Charge Description Master data and charge-capture processes.
  • Analyze claims, charges, denials, payments, and reimbursement data to identify discrepancies, trends, and improvement opportunities.
  • Support coding, billing, revenue-integrity reviews, audits, data validation, and quality-assurance activities.
  • Develop reports, KPIs, process documentation, standard operating procedures, and recommendations for project leadership and client stakeholders.

Requirements

  • 5–7 years of experience in healthcare revenue cycle, medical coding, billing, revenue integrity, reimbursement, or related healthcare operations.
  • Current professional coding certification such as CPC, CCS, CCS-P, COC, CIC, or an equivalent nationally recognized certification.
  • Working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, coding guidelines, and hospital or professional billing and reimbursement processes.
  • Experience reviewing healthcare revenue-cycle data and documenting discrepancies, findings, and recommendations.
  • Strong analytical, research, problem-solving, written, and verbal communication skills, with the ability to manage multiple priorities independently.
  • Ability to obtain and maintain required DHA/DoD system and security access.

Nice to have

  • Charge Description Master maintenance, review, audit, or optimization experience.
  • Experience with charge capture, revenue integrity, coding audits, claims, denials, accounts receivable, payment analysis, or payer reimbursement.
  • Knowledge of Medicare, TRICARE, commercial payer, healthcare compliance, and billing requirements.
  • Experience supporting the Military Health System, DHA, Department of Defense, VA, or another federal healthcare environment.
  • Bachelor’s degree in Health Information Management, Healthcare Administration, Health Sciences, Business, Finance, or a related field; relevant experience may substitute.

Culture & Benefits

  • Remote operational and analytical work supporting multidisciplinary UBO teams and client stakeholders.
  • Participation in UBO meetings, working groups, audits, and process-improvement initiatives.
  • Use of Microsoft Excel, Word, PowerPoint, and Teams for analysis, reporting, and collaboration.

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