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Posted: 07-Jan-25
Location: Los Angeles, California
Categories:
Internal Number: 145590916
As a Revenue Cycle Healthcare Analyst, you will play a critical role in ensuring the accuracy and compliance of hospital and physician charges related to clinical trials, research, and grants. You will:
- Conduct daily reviews of pre-billed, billed, and denied charges to distinguish between research-related and standard-of-care activities.
- Resolve issues involving charge edits, claims processing, and revenue cycle functions to optimize workflows.
- Utilize clinical documentation, coding (CPT, Modifiers, ICD-10), and billing data to correct and process charges efficiently.
- Communicate risks and compliance concerns to leadership, providing actionable recommendations for improvement.
- Collaborate with clinical research departments to serve as a subject matter expert for research-related billing activities.
- Analyze data trends, generate reports, and contribute to process enhancements that improve revenue cycle performance.
- Stay current on government regulations, clinical trial protocols, and industry standards to support organizational compliance.
Salary Range: $76,200-$158,800 annually
We are seeking a detail-oriented individual who has:
- A Bachelor’s degree in a related area or equivalent experience.
- 5 or more years of experience in healthcare revenue cycle.
- CCS, CCS-P, COC, CPC, or CPB certification.
- Strong knowledge of CPT, Modifiers, ICD-10 coding.
- Proficiency in billing systems, claims processes, and IT systems such as EPIC and OnCore.
- Excellent analytical and problem-solving skills with the ability to resolve complex billing and compliance issues.
- Strong communication skills and the ability to collaborate effectively with cross-functional teams.
- RedCap experience (highly desired).
