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Revenue Cycle Analytics Jobs in Virginia (NOW HIRING)

As a Revenue Cycle Analyst, this position performs functions which could include any combination of: daily operations; reporting and analysis; issue identification and resolution; and key performance ...

System Analyst Revenue Cycle III

Lynchburg, VA · On-site +1

$118K - $177K/yr

... Data Analytics and Insights: Leverage data from revenue cycle systems to provide strategic insights, using critical analysis to drive decision-making and process improvements. • Mentorship and ...

Revenue Cycle Process Improvement Systems Analyst Department:East | Precert and Financial Counseling Scope of Position The Revenue Cycle Process Improvement Systems Analyst serves as an internal ...

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Revenue Cycle Analytics information

Is revenue cycle a good career?

Revenue cycle analytics involves analyzing financial data related to healthcare billing and collections, requiring skills in data analysis, healthcare systems, and often proficiency with tools like Excel or specialized software. It is considered a stable career with opportunities for advancement, especially for those with certifications such as CPC or CPA, and it offers a growing demand due to the complexity of healthcare reimbursement processes.

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 much does a RCM specialist make in the US?

A Revenue Cycle Management (RCM) specialist in the US typically earns between $45,000 and $70,000 annually, depending on experience, location, and certifications. Salaries can vary based on the size of the healthcare organization and the complexity of the revenue cycle tasks performed.

What does a revenue cycle analyst do?

A revenue cycle analyst reviews and analyzes the financial processes involved in billing, coding, claims submission, and reimbursement within healthcare or other industries. They identify areas for process improvement, ensure compliance with regulations, and use data analysis tools to optimize revenue collection and reduce denials.

How much does an RCM analyst make?

An RCM (Revenue Cycle Management) analyst typically earns between $50,000 and $75,000 annually, depending on experience, location, and certifications. Entry-level positions may start lower, while experienced analysts with specialized skills can earn higher salaries, often supplemented by benefits and bonuses.
What cities in Virginia are hiring for Revenue Cycle Analytics jobs? Cities in Virginia with the most Revenue Cycle Analytics job openings:

REVENUE CYCLE ANALYST

Augusta Health

Fishersville, VA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 days ago


Augusta Health rating

6.9

Company rating: 6.9 out of 10

Based on 46 frontline employees who took The Breakroom Quiz

553rd of 1,053 rated hospitals


Job description

Overview
At Augusta Health, your work matters - and so do you. Whether you're delivering direct patient care, supporting operations, or innovating behind the scenes, every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job - we offer a purpose-driven career in a nationally recognized, independent health system located in Virginia's scenic Shenandoah Valley.
Learn more about career opportunities on our Careers Page.
Our team members thrive in a supportive culture that values collaboration, integrity, and excellence. With opportunities across clinical and non-clinical areas, Augusta Health is a place where your skills make a difference, and your growth is a priority.
Why Join Augusta Health?
We believe in taking care of the people who care for our community. That's why Augusta Health offers a comprehensive and thoughtfully designed benefits package that supports your well-being, career development, and work-life balance. Whether you're launching your career or bringing in years of experience, we provide the tools, resources, and encouragement to help empower you to reach your full potential - personally, professionally, and financially.
Explore our Benefits, current Hiring Incentives, and our Taking Care of Us initiative - which embraces Belonging, Respect, Inclusion, Diversity, Growth, and Equity (B.R.I.D.G.E.) - to see how we invest in our team members and culture.
Total Rewards & Benefits (may vary by position)
  • Comprehensive insurance package including medical, dental, and vision coverage
  • Retirement savings plans and financial wellness support programs
  • Earned Wage Access Program, allowing eligible team members to access a portion of earned wages before payday
  • Generous paid time off and flexible scheduling to promote work-life balance
  • Career development programs including clinical ladders, shared governance, and advancement opportunities
  • Personalized onboarding with dedicated preceptors and ongoing educational support
  • Tuition reimbursement and access to onsite childcare
  • Free onsite parking, 24/7-armed security for your safety, a Health Fitness Reimbursement Program, and an onsite credit union and pharmacy
  • Competitive pay with shift/weekend differentials
  • Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e., movie tickets)

Full details are available on our Benefits Page.
Job Summary
This position plays a critical role in supporting Augusta Health's mission and advancing departmental goals through measurable performance indicators and service excellence. This position contributes to a collaborative, patient-centered environment and helps drive outcomes aligned with organizational priorities.
As a Revenue Cycle Analyst, this position performs functions which could include any combination of: daily operations; reporting and analysis; issue identification and resolution; and key performance tracking within the Revenue Cycle of Augusta Health in the areas of revenue integrity; expected reimbursement; and payer monitoring.
Position will begin as onsite with possibility for hybrid or remote eventually.
Essential Job Duties
  • The incumbent will have a fluid workflow which consists of daily tasks interacting in multiple systems; data analysis regarding charging practices, payer reimbursement, and other revenue integrity initiatives; problem solving and issue resolution.
  • The objective of the Revenue Cycle Analyst in support of sound charging practices will be to assure the accuracy and timeliness of patient revenue by maintaining integrity of the CDM and supports the Charge Master Coordinator by:
    • Uploading new charges, price changes and other coding changes into the HIS system
    • Interacting with the charge master maintenance software
    • Ensuring the legitimacy and compliance of new charge requests
    • Ensuring all charge codes are loaded correctly and accurately
    • Assisting with the annual charge review performed at the end of each FY in preparation for the next year's charge structure
    • Lead, request, and attend meeting related to charging practices included new services lines, change in services lines, or any other initiative
    • Provide information when requested regarding charging activities, revenue and usage, and other charge master data
    • Review CPT, HCPCs and Revenue Codes to ensure maintained accuracy
    • Develop process documents as needs are identified
    • Analyze the impact of regulatory changes and communicate accordingly
  • The objective of the Revenue Cycle Analyst in support of tracking and trending of payer reimbursement will be to assure we are receiving the contractually agreed upon payments from our managed care payers by:
    • Maintaining an updated understanding of each of our main payer contracts, including a high level knowledge of payment provisions for high level discussions
    • Maintaining an updated understanding of how to access detailed payment provision information for situations where individual claims assessments are needed
    • Running and analyzing of payment variance reports from the contract management system
    • Monitoring reimbursement of new service lines and locations
    • Coordinating corrected payments from payers where variances arise
    • Coordinating with underpayment vendor partner on contract questions, coding/billing modifications, potential process improvements
  • The objective of the Revenue Cycle Analyst in support of revenue integrity initiatives will be to ensure revenue cycle systems and teams are up to date with payer information by:
    • Maintaining updated payment reference materials including fee schedules, managed care rate matrix, and other rate documents
    • Monitoring and updating of the contract management system to ensure AR valuation is as accurate as possible
    • Assisting with cataloging of payer contracts
    • Supporting patient estimation software with charge and payment updates, troubleshooting individual estimate issues
    • Monitoring of payer policy updates, sharing with appropriate Revenue Cycle teams, tracking of needed system/process changes
    • Research topics for revenue integrity education and training programs

Required Qualifications
  • Education: High School Diploma or equivalent.
  • Licensure/Certification: None
  • Experience: Minimum of three years of revenue cycle experience.
  • Driver's License: N/A
  • Eligibility to work in the United States and meet Virginia state employment requirements

Preferred Qualifications
  • Education: None
  • Licensure/Certification: Certifications through AAHAM, AAPC, HFMA or other nationally recognized revenue cycle association.
  • Experience: None
  • Prior experience in a hospital, healthcare system, or related service-oriented environment
  • Familiarity with Augusta Health's systems, workflows, or organizational culture is a plus

Competencies, Knowledge, Skills and Abilities
  • Knowledge of third party and governmental billing/collection techniques is required.
  • Strong and professional verbal and written communication skills are essential.
  • Must be able to communicate effectively with all levels of the organization including clinical professionals, co-workers, payer representatives, and
    practice and hospital administration.
  • Must be able to be efficient with multiple computer applications including the health systems HIS system, CMNavigator, Syntellis Contract
    Management, AccuReg, etc.
  • Must be able to work independently and be self-motivated
  • Strong ability to use analysis-based problem solving techniques
  • Strong time management
  • Is considered a subject matter expert.
  • Must be extremely organized.
  • Must have at least a general understanding of healthcare billing, charge development, and reimbursement processes, as well as healthcare financial
    management and reporting
  • Knowledgeable about healthcare regulatory and compliance issues, particularly in regard to Medicare

About Augusta Health
Augusta Health is an independent, nonprofit, mission-driven health system located in Fishersville, Virginia, in the heart of the Shenandoah Valley. We offer a full continuum of inpatient and outpatient services, including Augusta Medical Center-a 255-bed facility-and Augusta Medical Group, which operates 40 practice locations and four urgent care centers. Our commitment to excellence, innovation, and compassionate care makes Augusta Health a leading employer and healthcare provider in the region.
Discover more about our history, values, and community impact on our About Us Page.
Equal Opportunity Statement
Augusta Health recruits, hires, and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.
We are committed to fostering a diverse and inclusive workplace in accordance with federal and Virginia state employment laws.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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