Senior Revenue Cycle Analyst

• Performs complete random audits at least quarterly, as evidenced by submission of completed audit reports to department administrator.
• Exercises professional judgment in all areas of clinical coding and reimbursement-related issues and maintains a demeanor complementary to medical ethics.
• Responsible for overseeing the coding of all Pathology and Laboratory Medicine related procedures. Works closely with other hospital departments including Medical Records, Patient Accounts, and Patient Registration to ensure that all procedures performed are coded, posted, and billed properly.
• Provides information such as coding guidelines, proper documentation techniques, and medical terminology appropriate to the job functions as they relate to outpatient data management and revenue-related activities.
• Performs data quality reviews and audits of outpatient and inpatient encounters to validate CPT codes, CDM and modifier selection. Corrects errors and establishes processes or takes appropriate action to prevent or minimize re-occurrence of similar errors.
• Brings concerns involving compliance issues to the attention of the department director and hospital compliance office.
• Demonstrates competency in the use of computer applications used in the clinical and anatomic laboratories. Demonstrates understanding and necessary skill to investigate and resolve billing issues and coding inconsistencies. Monitors outpatient unbilled account reports for outstanding or un-coded encounters in order to reduce Accounts Receivable days for outpatients.
• Monitors the Work queue billing errors in EPIC Beaker and resolves them.
• Represents the department at revenue cycle meetings and brings identified concerns to department director for discussion and plan of resolution.
• Interacts closely with Patient Access, Patient Accounts, and Healthcare Finance Directors and Managers to ensure consistency among the technical and professional components of pathology charges.

• Bachelor’s Degree in a healthcare-related field plus three (3) years of related experience required. Master’s Degree in Hospital, Public, or Business Administration preferred.
• Knowledge of CPT-4 coding, APC methodology and hospital charge master systems and processes necessary.
• Excellent oral and written communications skills and the ability to work independently on several tasks or projects simultaneously are required.
• Experience in preparation of reports and presentations required.
• Equivalent education, experience and/or training may be substituted for the degree requirements.

• Paid Time Off (PTO)
• Medical & Prescription Drug Coverage
• Dental & Vision Insurance
• Health Savings Account (HSA) & Flexible Spending Account (FSA)
• Short- & Long-Term Disability Insurance
• Pension Plan
• Pet Insurance
• Employee Assistance Program (EAP)
• Professional Development

University Hospital Newark, NJ