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Remote Rcm Analyst Jobs in Virginia (NOW HIRING)

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented ... Strong Exceland data analysis skills for tracking claim performance. * Familiaritywith AI-based RCM ...

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Remote Rcm Analyst information

What is the difference between Remote Rcm Analyst vs Remote Revenue Cycle Coordinator?

AspectRemote Rcm AnalystRemote Revenue Cycle Coordinator
CertificationsCPAR, CPC, or equivalentCPAR, CPC, or equivalent
Work EnvironmentHealthcare billing and coding teams, remoteRevenue cycle management teams, remote
Industry UsageHealthcare providers, billing companiesHospitals, clinics, healthcare organizations
Job FocusAnalyzing revenue cycle data, billing accuracyOverseeing revenue cycle processes, ensuring cash flow

Both roles involve revenue cycle management in healthcare, requiring similar certifications and working remotely. The Remote Rcm Analyst primarily focuses on analyzing billing data and optimizing revenue processes, while the Remote Revenue Cycle Coordinator manages overall revenue cycle activities to ensure timely payments and collections.

What is a Remote RCM Analyst?

A Remote RCM (Revenue Cycle Management) Analyst is a professional who works off-site to analyze and optimize the financial processes within healthcare organizations. Their primary role is to ensure that the revenue cycle—from patient registration to the final payment of a balance—operates efficiently and maximizes revenue collection. They use data analysis to identify inefficiencies, resolve billing issues, and ensure compliance with healthcare regulations. Working remotely, they collaborate with healthcare staff through digital communication tools and use specialized software to track and report financial data. This role is critical for maintaining the financial health of healthcare providers.

What are the key skills and qualifications needed to thrive as a Remote RCM Analyst, and why are they important?

To thrive as a Remote RCM Analyst, you need a strong understanding of healthcare revenue cycle management, medical billing, and coding, often supported by a degree in health information management or related certifications like CPC or CRCR. Familiarity with electronic health record (EHR) systems, billing software, and data analytics tools is typically required. Excellent attention to detail, problem-solving abilities, and effective communication are vital soft skills for collaborating with providers and addressing claim issues remotely. These skills ensure accurate financial processing, timely reimbursements, and compliance with healthcare regulations in a virtual work environment.

How does a Remote RCM Analyst typically collaborate with other departments while working offsite?

As a Remote Revenue Cycle Management (RCM) Analyst, collaboration with other departments is primarily conducted through digital communication tools such as video conferencing, email, and project management platforms. You will often coordinate with billing teams, coders, and compliance staff to resolve discrepancies and ensure accurate claims submission. Regular virtual meetings and shared documentation are essential for maintaining clear communication and workflow alignment. Building strong relationships remotely requires proactive communication and responsiveness to ensure seamless support for revenue cycle operations.
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Remote Rcm Analyst jobs near you
Medical Billing Specialist

Medical Billing Specialist

C-MCI

Fairfax, VA • On-site, Remote

$18.50 - $24/hr

Full-time

Re-posted 11 days ago

Job description


Position: Medical Billing Specialist
Location: Remote / On-site
Department: Revenue Cycle Management
Overview:
CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal claim rejections.
Why Join CMCI?
  • Opportunityto work with cutting-edge AI-driven billing solutions that optimizeRCM efficiency.
  • Work in acollaborative environment with healthcare and AI professionals.
  • Competitivesalary, benefits, and professional development opportunities.

Key Responsibilities:
  • ClaimsProcessing & Submission:
    • Accuratelyprocess, review, and submit medical claims.
    • Verify CPT,ICD-10, and HCPCS codes to ensure claims compliance withpayer-specific policies.
    • Work withclearinghouses and insurance payers to track claims and resolve denials,rejections, and underpayments efficiently.
  • Revenue CycleManagement (RCM):
    • Oversee theentire claims lifecycle, from eligibility verification to final paymentreconciliation.
    • Monitoraccounts receivable (A/R) aging reports and ensure timely follow-upon outstanding claims.
    • Optimizepayer reimbursement rates by leveraging contractual agreements andcoding best practices.
  • Payer &Compliance Coordination:
    • Utilize thepayer lookup database to retrieve Payer IDs and transactiontypes for accurate claim submission.
    • Ensurecompliance with Medicare, Medicaid, and private insuranceguidelines to prevent fraud and billing errors.
    • Stay updatedon coding changes, regulatory requirements, and payer policies tomaintain accuracy in claims processing.
  • Technology& AI Development Support:
    • Provideinsights into billing workflows, common claim errors, and automationopportunities to improve AI-driven billing tools.
    • Assist intesting and refining AI-powered RCM solutions, including automated claimsscrubbing and predictive denial management.
    • Collaboratewith the engineering and data science teams to train AI models forenhanced claims accuracy.

Requirements
Required Qualifications:
  • Education& Certification:
    • Associate'sor Bachelor's degree in Health Information Management, Business, or arelated field (preferred).
    • CertifiedProfessional Biller (CPB) or Certified Professional Coder(CPC) (preferred).
  • Experience:
    • 2+ years ofexperience in medical billing, claims processing, or revenue cyclemanagement.
    • Strongknowledge of CPT, ICD-10, and HCPCS coding systems.
    • Experienceworking with Medicare, Medicaid, and commercial insurance payers.
  • TechnicalSkills:
    • Proficiencywith billing and practice management software such as:
      • ElectronicHealth Records Systems: Epic, Cerner, Athenahealth
      • Clearinghouseplatforms: Emdeon, Availity, Change Healthcare, Waystar, Kareo
    • Experiencewith ANSI X12 837 EDI claims processing.
    • Strong Exceland data analysis skills for tracking claim performance.
    • Familiaritywith AI-based RCM tools is a plus.
  • Soft Skills:
    • Stronganalytical and problem-solving skills for identifying claimdiscrepancies.
    • Excellentcommunication and collaboration skills to liaise with providers andpayers.
    • Ability towork independently and in a team environment in a fast-pacedsetting.

Join CMCI to help revolutionize the future of AI-powered medical billing!
All qualified applicants will receive consideration for employment without regard to any characteristic protected by local, state, or federal laws, rules, or regulations

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