PATIENT ACCTS REV CYCLE ANALYST

Position Overview

At Sinai Health System d/b/a Sinai Chicago, we take health care personally. Excellence in health care is about more than just medicine, technology, tests, and treatments—it is about caring for people with dignity and respect. We are dedicated to providing the best care for our community, our patients, and for you.

The purpose of this position is to provide support for the revenue cycle initiatives and conduct revenue cycle audits and reviews. This role is responsible for monitoring performance for revenue cycle management standards, including CDM reviews and missing charge recovery, and reports directly to the Manager of Revenue Integrity & Analysis.

Key Responsibilities

• Provides accurate data analysis and reporting relating to revenue cycle billing and coding.
• Periodically audits various elements of the revenue cycle, including patient accounts and the charge description master (CDM), to monitor compliance and validate payment for services rendered, and assists with resolving revenue cycle compliance issues.
• Researches revenue cycle issues at a detailed level to identify the root cause of recurring issues such as late charges and claim rejections.
• Collaborates with managers and staff to identify process flows and areas for improvement to maintain control over the revenue cycle process, ensuring accurate, timely, and complete charge capture.
• Works with departments to establish elements of the revenue cycle for new services, including charge description master setup and related reports.
• Effectively communicates with Clinical departments, Patient Accounts, Information Systems, HIM, and Managed Care departments.
• Evaluates the impact of current reimbursement/payment rules on various service lines, ensuring that legislative and regulatory changes impacting billing are quantified and communicated to appropriate personnel.
• Performs other duties as assigned.

Required Qualifications

• Bachelor degree in Applied Science, Business, Finance, or a related field.
• 1 - 2 years’ experience in patient accounting, billing, or clinical work involving Medical Terminology, CPT/ICD-9 coding, DRG/APC payment classifications, and UB/HCFA regulatory requirements.
• Basic knowledge of hospital billing, finance, revenue cycle, and managed care.
• Specific knowledge of Medicare and Medicaid billing and coding regulations.
• Strong analytical skills.
• Excellent verbal and written communication skills.
• Experience with Microsoft Word, Excel, and Access.
• Basic knowledge of ICD-9CM and CPT coding.

Preferred Qualifications

• Additional training in revenue cycle processes and healthcare payment methodologies desired.
• Previous audit experience preferred.
• Experience in EPIC and MEDITECH software systems preferred.