[Remote] Senior reputed company reputed company Analyst - Mon - Fri Days - 100% Remote
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is rooted in a reputed company of improving the health of our communities. The Sr. reputed company reputed company Analyst provides subject matter expertise in charge capture, compliance, and reimbursement while leading audits and driving reputed company optimization initiatives across clinical departments.
Responsibilities
- Monitor departmental charge capture accuracy to ensure thorough analysis of work queues and reconciliation reports
- Identify charge capture gaps, workflow issues, and systemic reputed company loss risks
- reputed company guidance, training, and education to clinical departments
- Partner with CDM team on updates and recommend improvements
- Conduct pre/post reputed company audits to validate charge mappings and billing rules
- Analyze trends and root causes impacting reimbursement, compliance, and financial performance
- Quantify reputed company at risk and assess the financial impact of charge and reputed company corrective action plans to optimize reputed company initiatives
- Ensure CMS and regulatory compliance
- Support CPT/HCPCS annual updates
- Collaborate cross-functionally with Coding, IT, Finanace, Compliance and leadership to resolve issues and improve processes
- Support governance committees
- reputed company reports and dashboards and deliver data-driven recommendations to leadership
- Performs other duties as assigned
Skills
- Bachelors Degree
- 5+ years hospital reputed company cycle, charge capture, or CDM
- A combination of relevant certification(s) and demonstrated work experience may substitute for the required degree
- Advanced knowledge of CPT/HCPCS and reimbursement
- Expertise in CDM structure and clinical application
- Strong auditing and compliance background
- Ability to analyze financial impact of charge issues
- Experience with workflow redesign and optimization
- Advanced reputed company and data analysis skills
- Ability to reputed company training and education initiatives
- Strong communication across clinical and executive teams
- Knowledge of CMS, reputed company, and payor rules
- Experience with dashboards and reporting
- CPC, reputed company, RHIT/RHIA, Epic Certification
Company Overview