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Revenue Cycle Analytics Jobs in Tennessee (NOW HIRING)

Vertek Staffing

Revenue Integrity Analyst

Franklin, TN · Remote

Preferred Background Candidates with experience in Revenue Integrity, Charge Capture, Revenue Cycle Analytics, Denials Management, Patient Financial Services, Hospital Billing, or HIM Operations are ...

Genesis HealthCare

Coordinates revenue cycle interaction with the operations and revenue producing areas and providers ... Performs root cause analyses with trends to share with appropriate service line leaders. 5. ...

Compassus

Vice President of Revenue Cycle

Brentwood, TN · On-site

$180 - $280/hr

The Vice President of Revenue Cycle is responsible for modeling the Compassus values of Compassion ... Ability to read, analyze, and interpret general business periodicals, professional journals ...

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Revenue Cycle Analytics information

What is the difference between Revenue Cycle Analytics vs Revenue Cycle Coordinator?

AspectRevenue Cycle AnalyticsRevenue Cycle Coordinator
CredentialsTypically requires a degree in healthcare, finance, or related field; certifications like CPC or RHIT are commonOften requires a high school diploma or associate degree; certifications like CPC or similar may be preferred
Work EnvironmentData analysis, reporting, and process improvement in healthcare settingsOperational tasks, billing, and patient account management in healthcare facilities
Employer & IndustryHospitals, health systems, revenue cycle management companiesHospitals, clinics, billing companies

Revenue Cycle Analytics focuses on analyzing financial data to improve revenue processes, while Revenue Cycle Coordinators handle day-to-day billing and account management. Both roles are essential in healthcare revenue management but differ in their focus and responsibilities.

How do I become a revenue cycle analyst?

To become a revenue cycle analyst, candidates typically need a bachelor's degree in healthcare administration, finance, or a related field. Relevant skills include data analysis, proficiency with healthcare revenue cycle management software, and understanding billing and coding processes. Gaining experience through internships or entry-level roles can also be beneficial, and certifications like the Certified Revenue Cycle Representative (CRCR) can enhance job prospects.

Is revenue cycle analytics a good career?

Revenue cycle analytics is a growing field that involves analyzing financial data to improve billing, collections, and revenue management in healthcare organizations. It requires skills in data analysis, healthcare billing systems, and often certifications like CPC or CRCR. The role offers opportunities for advancement and job stability due to the increasing focus on revenue optimization in healthcare.

What do revenue cycle analysts do?

Revenue cycle analysts review and analyze financial data related to the healthcare revenue cycle, including billing, coding, collections, and reimbursements. They identify trends, discrepancies, and opportunities for process improvements using data analysis tools and may collaborate with billing and coding teams to optimize revenue. Strong analytical skills and knowledge of healthcare billing systems are essential for this role.

What are popular job titles related to Revenue Cycle Analytics jobs in Tennessee?

For Revenue Cycle Analytics jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Revenue Cycle Analytics jobs in Tennessee look for?

The top searched job categories for Revenue Cycle Analytics jobs in Tennessee are:

What cities in Tennessee are hiring for Revenue Cycle Analytics jobs?

Cities in Tennessee with the most Revenue Cycle Analytics job openings:

Revenue Cycle Analytics jobs near you

Revenue Integrity Analyst

Vertek Staffing

Franklin, TN • Remote

Contractor

Re-posted 22 days ago

Job description

Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract

Schedule: Monday - Friday | Full-Time

Position Summary

The Healthcare Revenue Integrity Analyst is responsible for reviewing, analyzing, and resolving billing edits, charge review exceptions, and revenue cycle discrepancies to ensure accurate reimbursement and regulatory compliance. This role serves as a key resource in identifying revenue leakage opportunities, improving charge capture processes, reducing denials, and optimizing revenue cycle performance.

The analyst will work closely with Revenue Integrity, Patient Financial Services, HIM, Coding, Clinical Departments, CDI, and Information Technology teams to support compliant billing practices and maximize reimbursement.

Required Qualifications

  • Minimum 3 years of Revenue Integrity, Revenue Cycle, Billing, Coding, or Charge Capture experience within a hospital or health system.
  • Experience working claim edit workqueues and billing edits.
  • Knowledge of Medicare, Medicaid, and commercial payer reimbursement methodologies.
  • Experience researching and resolving charging, coding, and billing discrepancies.
  • Understanding of NCCI edits, medical necessity edits, modifier usage, and reimbursement guidelines.
  • Experience with Epic Resolute, Epic Revenue Integrity, Cerner, Meditech, or similar hospital billing systems.
  • Strong analytical and problem-solving skills.

Preferred Certifications
One or more of the following certifications is preferred:

  • CPMA (Certified Professional Medical Auditor)
  • CPC (Certified Professional Coder)
  • COC (Certified Outpatient Coder)
  • CCS (Certified Coding Specialist)
  • CRCR (Certified Revenue Cycle Representative)
  • RHIT (Registered Health Information Technician)
  • RHIA (Registered Health Information Administrator)

Primary Responsibilities

  • Review and resolve claim edits and billing exceptions.
  • Analyze charging and reimbursement issues impacting revenue cycle performance.
  • Identify trends related to denials, underpayments, and revenue leakage.
  • Collaborate with Coding, CDI, Revenue Cycle, Clinical Departments, and Patient Financial Services to resolve reimbursement issues.
  • Validate compliance with payer regulations, CMS guidelines, and organizational policies.
  • Support charge capture improvement initiatives and CDM maintenance activities.
  • Perform root cause analysis on recurring billing and reimbursement issues.
  • Assist with revenue cycle audits and process improvement initiatives.
  • Develop recommendations to improve clean claim rates and reduce denials.
  • Monitor and report key revenue integrity performance metrics.

Preferred Background
Candidates with experience in Revenue Integrity, Charge Capture, Revenue Cycle Analytics, Denials Management, Patient Financial Services, Hospital Billing, or HIM Operations are strongly encouraged to apply.

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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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