Senior RCM Analyst/Local On-site at Raleigh Radiology LLC

Raleigh, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

07 May, 26

Salary

0.0

Posted On

06 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Data Analysis, Revenue Cycle Management, Financial Reporting, Compliance, Quality Control, Prioritization, Leadership, Excel, Power BI, Denial Reduction, A/R Aging, Cash Flow Forecasting, HIPAA, CMS, AMA Standards, No Surprise Act

Industry

Hospitals and Health Care

Description

Description Introduction: The Sr. RCM Analyst will help to maximize the financial health of Raleigh Radiology by ensuring cash flow, efficiency, and Revenue Integrity, maintaining regulatory compliance, and collaborating with internal and external stakeholders to enhance revenue cycle performance. This role plays a critical part in ensuring financial health and operational efficiency by analyzing data, identifying trends, and implementing strategic improvements. Flexibility, dependability, and professionalism are required. Must be able to maintain confidentiality of information. Desired Skills: · Precision- Focused: Maintain a high level of accuracy in data entry, documentation, and reporting. · Strong Leadership/Management Skills: Can lead a team or work independently. Able to make sound decisions. · Quality Control: Demonstrates a meticulous approach to identifying and correcting errors before project delivery. · Patient- Centric- Focus on the ability to handle sensitive financial conversations with empathy. · Consistency: Ensures all outgoing communications and deliverables adhere to brand standards and technical specifications · Strong Analytical Skills: Thoroughly reviews complex information to identify patterns, discrepancies, and opportunities for improvement. · Prioritization: Expertly manages competing priorities and deadlines in a fast-paced environment. · Structural Thinking: Strong ability to break down complex projects into actionable, organized tasks. · Technical Skills and Qualifications/ Computer literate: Experience with Excel, Microsoft Word or similar software Power BI, Scheduling Systems, Royal Health Inc (is a plus), ERM systems, Payer portals Key Responsibilities: Revenue Cycle Management: Oversee outsourced billing operations (coding, A/R, payment posting, collections, compliance). Communicate with patients regarding bills and financial assistance. Implement strategies to reduce denials and optimize revenue. Maintain strong relationships with payers, providers, and internal teams. Approve/deny financial assistance and refund requests. Data Analysis & Reporting: Prepare and analyze financial reports and KPIs (A/R aging, denial rates, clean claim rates, etc.). Identify trends and opportunities for improvement. Maintain cash flow forecasting models and provide real-time cash position reports. Compliance & Training: Ensure adherence to healthcare regulations (HIPAA, CMS, AMA standards, No Surprise Act). Monitor RCM compliance issues. Conduct audits and educate staff, providers, and patients on revenue cycle policies. Requirements EDUCATION, EXPERIENCE, CERTIFICATION, LICENSURE A. Education: Associates ' or Bachelor’s degree in Healthcare Administration, Business, Finance preferred, or a related field, or in lieu of education requirement, 4 years of relevant experience in revenue cycle management. B. Experience: Previous experience in the healthcare or hospital setting is required. 4+ years of progressively responsible experience and training. Experience managing outsourced RCM vendors. C. Certifications: Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), Certified Professional Biller (CPB), Certified Professional Medical Auditor (CPMA), or similar backgrounds.

Responsibilities

The Senior RCM Analyst will oversee outsourced billing operations, focusing on coding, A/R, payment posting, and collections while implementing strategies to optimize revenue and reduce denials. This role also involves preparing and analyzing key financial reports and KPIs, such as A/R aging and clean claim rates, to identify improvement opportunities.