"Revenue Cycle Analyst"

Position Summary

At Stony Brook Medicine the Revenue Cycle Analyst will provide operational support and analytical and reporting services throughout the hospital's Business Office. This position will work closely with subject matter experts in their assigned area to support day to day business functions, performance improvement initiatives, reconciliation, benchmarking and reporting. Candidates will possess a high degree of both technical and analytical aptitude with a history or background which demonstrates an ability to: 1) summarize, analyze and report business data; 2) adopt and master software tools/platforms; 3) effectively communicate (written & verbal) business process, objectives and trends.

Duties

• Analyze claims and remittance data and present findings to departmental leadership.
• Complete variance and trend analyses via spreadsheets, databases and dashboards.
• Create audit and reconciliation plans related to: charges, adjustments, expected reimbursement and denials; accelerated and unposted cash.
• Document and validate business processes and business systems configuration, including: Patient Billing, Claims Scrubber, Contract Management and Work Listing Software.
• Interpret billing, coding and payment regulations, third party contracts.

Qualifications

Required

• Bachelor's degree in Accounting, Finance, Health Information Management, Health Administration, Computer Science or related field.
• Proficiency in MS Office Suite including: Excel, Word, Access, Visio, PowerPoint.
• Excellent written and verbal communication skills.

Preferred

• Masters Degree or Professional Licensure.
• Experience in an Acute Care Hospital, Health System Revenue Cycle, Accounting, Finance, Information Technology or Decision Support role.
• Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies.
• Knowledge of third party payer reimbursement methodologies and contracts.
• Knowledge of CPT, HCPCs and ICD-10 coding principles.
• Knowledge of Invision Patient Accounting, RPM, Contract Management and/or Claims Scrubber Software.
• Knowledge of SQL or Database Queries.
• Experience reporting from healthcare decision support, patient accounting, contract management and/or claims scrubber systems.
• Proficiency with SAP Business Objects, Crystal Reports.
• Proficiency with visualization software (Tableau, MS Power BI, etc.).