REVENUE CYCLE ANALYST II

General Purpose of Job:  

To support the optimization of the revenue cycle by preparing, analyzing, and interpreting key performance indicators (KPIs) across all revenue cycle functions. This role facilitates continuous process improvement through data-driven insights, collaboration with revenue cycle teams, and coordination with clinical and administrative departments that influence financial outcomes. The Analyst ensures alignment with organizational goals to enhance efficiency, compliance, and reimbursement performance within the health system.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis.  Team members may be asked to perform additional duties as assigned by their leader.  Leadership has the right to alter or modify the duties of the position.

• Independently resolve charging-related errors in Epic work queues across multiple service lines.
• Identify charging issues, analyze impact, and recommend solutions to expedite claims adjudication and reduce revenue loss.
• Build, maintain, and optimize charge-related master files
• Assist with design, build, and testing of Epic rules and optimization and actively participate in upgrades, workflow enhancements, and go-lives.
• Conduct variance and reimbursement analysis; prepare reports and escalate payer discrepancies with recommendations.
• Track regulatory and payer-mandated charge capture changes; implement updates with oversight.
• Support audits, ad hoc reporting, and charge optimization initiatives
• Partner with payer contracting, coding, billing, compliance, IT, finance, and clinical stakeholders to understand upstream/downstream revenue impacts.
• Act as subject matter expert for providers and team members on charge entry and workflows.
• Develop training materials and deliver peer-to-peer or department-level training sessions.

Job Requirements