Senior Analyst, RCM Data – Technology
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Job Description
Senior Analyst optimizing RCM data, interfaces, reporting, and technology for Core Clinical Partners’ emergency and hospital medicine services. Improving revenue capture, data integrity, and operational efficiency.
Responsibilities:
- Analyze, optimize, and maintain data, technology, and reporting processes supporting Revenue Cycle Management operations
- Ensure completeness, accuracy, timeliness, and integrity of clinical and financial data across the revenue cycle ecosystem
- Partner with Revenue Cycle Operations, IT, Coding, Billing, Provider Enrollment, hospital partners, and external technology vendors
- Identify data integrity issues and monitor system interfaces and chart acquisition
- Develop reconciliation, exception, executive, operational, and RCM performance reporting
- Develop, enhance, and support RCM data warehouse processes, reporting, chart integrity databases, payer connectivity, system integrations, and automated monitoring
- Monitor data flows across hospital EMRs/EHRs, coding platforms, clearinghouses, payer systems, provider enrollment systems, financial reporting platforms, and other RCM applications
- Resolve missing, duplicate, delayed, incomplete, or inaccurate clinical and financial data
- Maintain encounter-to-billing reconciliations and identify revenue-cycle gaps
- Maintain and enhance the Chart Integrity Database and reporting
- Automate exception monitoring for acquisition, interface, workflow, data, and revenue issues
- Analyze RCM trends to identify operational and financial opportunities
- Develop, test, implement, and optimize HL7, API, EDI, and other RCM interfaces
- Partner with IT, vendors, and hospitals to resolve interface and data issues
- Support payer connectivity and automation for eligibility, authorization, claims, disputes, and related functions
- Develop and monitor KPIs for chart integrity, encounter reconciliation, coding, claims, payer connectivity, data quality, revenue leakage, and system performance
- Translate business needs into reporting, analytics, automation, and technology solutions
- Support system implementations, upgrades, testing, workflow changes, and enhancements
- Document requirements, workflows, test plans, and implementations
- Coordinate data validation, troubleshooting, and sustainable solutions with teams and vendors
- Maintain hospital contacts, RCM system access, and data availability
- Plan projects, set milestones, track deliverables, and report status
- Automate manual processes to improve scalability, data quality, and efficiency
- Provide analytical and technical support for strategic RCM initiatives and growth
- Advise operational, financial, clinical, and technology stakeholders on RCM data and technology
Requirements:
- Bachelor’s Degree in Information Technology, Computer Science or related field
- Minimum 5 years’ experience in an IT Management position
- EHR/EMR experience required
- Prior experience in the healthcare sector required
- Experience using Microsoft Excel to analyze and organize large volumes of data for trending/exception reporting
- Chart Auditing/Optimization experience preferred
- Reliable access to internet when working remotely
- Strong analytical, critical-thinking, and problem-solving skills
- Ability to translate data, technology, and business requirements into actionable insights and recommendations
- Strong understanding of data, technology, systems, and analytical concepts
- Ability to assess business and operational requirements and support technology-enabled solutions
- Excellent written and verbal communication skills
- Ability to collaborate with internal and external stakeholders
- Ability to manage multiple complex priorities and strict deadlines
- Ability to maintain confidentiality and handle sensitive information appropriately
Benefits:
- Remote work arrangement
- Travel for in-person meetings and events
- Reliable internet access while working remotely
- Equal opportunity employer
- Drug-free workplace
- ADA compliance as applicable
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