Revenue Cycle Management

Revenue Cycle Management Data Jobs

2 jobs found

18d ago

Senior Revenue Cycle Management (RCM) Data Analyst

SimonMed Imaging Remote 🌍 Remote

Remote

18d ago

Full time Senior Analyst Analytics

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Job Description

This remote position at SimonMed Imaging places you at the helm of analytics across the radiology revenue cycle, directing the RCM analytics team and collaborating with RCM leadership, operations, IT, and finance to drive cash flow improvements, reduce denials, and streamline workflows.

Responsibilities

Oversee end to end analysis of the radiology revenue cycle, covering scheduling, prior authorizations, charge capture, coding, billing, reimbursement, accounts receivable, and denial management.
Design, maintain, and enhance dashboards, reports, and KPI frameworks to monitor performance across enterprise, payer, modality, location, and workflow levels.
Identify trends, risks, and opportunities related to cash acceleration, denial reduction, underpayments, productivity, and operational efficiency.
Translate complex data into clear, actionable insights for executive and operational leaders
Ensure data accuracy, integrity, and consistency across systems and reporting outputs.
Partner with RCM operations leaders to diagnose issues in front end, coding, billing, and follow up workflows and support corrective action plans.
Collaborate with finance on revenue forecasting, performance tracking, and variance analysis.
Support payer strategy and contract performance analysis through data driven insights.
Provide analytics support for strategic initiatives, audits, and performance improvement programs.
Leverage EHR, practice management, RCM platforms, and analytics tools to automate reporting and improve data accessibility.
Work with IT and vendors on data mapping, system enhancements, and integration of radiology specific workflows (modalities, CPTs, payer rules).
Continuously improve data processes to reduce manual work and increase speed and reliability.
Serve as a people manager and mentor for RCM analytics staff, setting clear expectations, reviewing work quality, and developing analytical capability across the team.
Establish standards for analytical rigor, documentation, and repeatable reporting processes.
Foster a high performance, high accountability culture with strong attention to detail and follow through.
Prioritize and allocate analytical resources based on business impact and organizational needs.

Requirements

Comprehensive knowledge of revenue cycle functions including patient access, coding, billing, collections, denials, and reimbursement models.
Proven ability to align revenue cycle strategy with organizational goals, interpret financial data, drive performance metrics, and support long term financial sustainability.
Strong technical and analytical skills, executive level communication, and negotiation abilities with capacity to proactively identify and quantify performance issues, shape data to drive insights, and lead cross functional remediation efforts.
Relentless work ethic, ownership mindset, ability to meet deadlines, and capacity to thrive in a fast paced environment.
Ability to go beyond surface metrics to root cause analysis and actionable insight.
Deep understanding of healthcare regulations and payer requirements (HIPAA, CMS) to ensure compliance and reduce risk exposure.
Experience with EHR/RCM systems and data analytics tools, with the ability to leverage technology to optimize workflows and revenue capture.
Deep understanding of payer contracts, reimbursement models, billing, and regulatory guidelines.
Experience supporting multi site, multi state radiology or healthcare organizations.
Familiarity with radiology specific coding, payer behavior, and authorization dynamics.
Experience building scalable KPI frameworks and executive level dashboards.
Bachelor’s degree in healthcare administration, business, finance or related field required.
7+ years of progressive experience in revenue cycle analytics, with strong radiology or healthcare services exposure.
Demonstrated expertise across the full radiology revenue cycle from front end through AR and denials.
Advanced analytical skills, including strong SQL and/or advanced Excel; experience with BI tools highly preferred.
Prior experience leading, mentoring, or managing analysts.
Proven ability to communicate complex findings clearly to both technical and non technical audiences.
Exceptional attention to detail with a strong sense of ownership and follow through.

Technologies

SQL
Excel
BI tools
EHR systems
RCM platforms
Practice management systems

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25d ago

Revenue Cycle Data Analyst - FT - Day - Revenue Integrity & Denials Mgmt

Capital Health Princeton, NJ

Princeton, NJ

25d ago

$65k - $84k/yr Full time Accounts Receivable Analyst Analytics

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Job Description

Capital Health seeks a full-time Revenue Cycle Data Analyst on-site in Princeton, NJ. The role centers on delivering precise reporting and insights for Revenue Integrity and Denials Management, supporting operational and executive decision-making and collaborating with clinical, billing, coding, case management, and finance teams to improve data visibility and reduce avoidable denials. Salary range: USD 64,625 - 84,448 per year.

Responsibilities

Deliver accurate, leadership-facing reporting and insights focused on Revenue Integrity and Denials Management within the Revenue Cycle.
Support operational and executive decision-making by identifying trends, quantifying revenue risk and opportunities, and tracking performance across pre-bill, claim adjudication, denial, and appeal workflows.
Collaborate with clinical, billing, coding, case management, and finance teams to enhance data visibility, reduce avoidable denials, and strengthen end-to-end revenue cycle performance.
Develop, maintain, and distribute recurring and ad hoc revenue cycle reports for leadership and operations teams.
Build dashboards and scorecards focused on denial trends, appeal performance, underpayments, pre-bill edits/holds, and revenue integrity outcomes.
Analyze root causes of denials by payer, denial reason, service line, DRG, location, and workflow ownership.
Monitor and report key KPIs including initial denial rate, preventable denial rate, appeal overturn rate, days to appeal submission/resolution, DNFB aging and pre-bill hold impact, and net collections trends.
Support denials task force and revenue integrity governance by preparing meeting materials, trend summaries, and action-oriented insights.
Reconcile data across source systems (EMR, billing, clearinghouse, denials/work queue tools) and validate report accuracy.
Monitor charge capture performance and identify potential revenue leakage across inpatient and outpatient workflows, including missed charges, late charges, charge lag, and documentation-to-bill discrepancies.
Analyze trends in late charges and post-bill adjustments; quantify financial impact and partner with clinical and operational leaders to strengthen charge capture controls.
Define metric logic, data definitions, and reporting standards in collaboration with leaders.
Identify process breakdowns and coordinate with operations on corrective action tracking and follow-up reporting.
Assist with payer policy impact analyses and retrospective reviews to quantify financial and operational effects.
Contribute to annual goal setting, baseline development, and performance monitoring across revenue cycle priorities.
Perform other duties as assigned.

Requirements

Bachelor’s degree in healthcare administration, Finance, Business, Data Analytics, or a related field.
Three years of experience in healthcare revenue cycle, revenue integrity, denials, reimbursement analytics, or a related financial/operational analytics role.
Strong analytical skills with the ability to interpret complex healthcare claims and reimbursement data.
Advanced Excel proficiency (pivot tables, lookups, formulas, data validation).
Experience creating reports and dashboards for leadership audiences.
Strong communication skills with the ability to translate data into clear business insights and recommendations.

Technologies

Excel
EMR

Benefits

Medical Plan
Prescription drug coverage and in-house employee pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA) including Healthcare and Dependent Care
Retirement Savings and Investment Plan
Basic Group Term Life and AD&D Insurance
Supplemental Life Insurance options
Disability Benefits – LTD and STD
Employee Assistance Program
Commuter benefits including Transit and Parking
Voluntary Life Insurance options for spouse, employee, and child
Voluntary Legal Services
Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
Voluntary Identity Theft Insurance
Voluntary Pet Insurance
Paid Time-Off Program

Physical Demands and Work Environment

Frequent physical demands include standing, walking, and talking or hearing.
Occasional physical demands include climbing stairs or ladders, carrying objects, pushing/pulling, twisting, bending, reaching forward, reaching overhead, squatting or kneeling, and wrist position deviation.
Continuous physical demands include sitting, fine motor activity, and keyboard use/repetitive motion.
Lifting requirements: up to 20 lbs floor-to-waist and up to 10 lbs waist level and above.
Sensory requirements include high levels of accuracy, near vision, far vision, color discrimination, and basic depth perception and hearing.
Anticipated occupational exposure: none noted.

Minimum Requirements

Education: Bachelor’s degree in healthcare administration, Finance, Business, Data Analytics, or related field.
Experience: Three years in healthcare revenue cycle, revenue integrity, denials, reimbursement analytics, or related financial/operational analytics role.
Knowledge and Skills: Strong analytical abilities for interpreting complex healthcare claims and reimbursement data; advanced Excel skills; experience creating leadership-facing reports and dashboards; strong communication skills for translating data into actionable business insights.
Mental, Behavioral and Emotional Abilities: Ability to meet deadlines with attention to detail; sound judgment; metric-driven and results-oriented.
Usual Work Day: 8 Hours
Reporting Relationships: This position does not supervise employees.

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Revenue Cycle Management Data Jobs

Senior Revenue Cycle Management (RCM) Data Analyst

Revenue Cycle Data Analyst - FT - Day - Revenue Integrity & Denials Mgmt

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