Revenue Cycle Healthcare Analyst (Research Billing)

As aRevenue Cycle Healthcare Analyst, you will play a critical role in ensuring the accuracy and compliance of hospital and physician charges related to clinical trials, research, and grants. You will:

• Conduct daily reviews of pre-billed, billed, and denied charges to distinguish between research-related and standard-of-care activities.
• Resolve issues involving charge edits, claims processing, and revenue cycle functions to optimize workflows.
• Utilize clinical documentation, coding (CPT, Modifiers, ICD-10), and billing data to correct and process charges efficiently.
• Communicate risks and compliance concerns to leadership, providing actionable recommendations for improvement.
• Collaborate with clinical research departments to serve as a subject matter expert for research-related billing activities.
• Analyze data trends, generate reports, and contribute to process enhancements that improve revenue cycle performance.
• Stay current on government regulations, clinical trial protocols, and industry standards to support organizational compliance.

Salary Range: $76,200-$158,800 annually

We are seeking a detail-oriented individual who has:

• A Bachelor's degree in a related area or equivalent experience.
• 5 or more years of experience in healthcare revenue cycle.
• CCS, CCS-P, COC, CPC, or CPB certification.
• Strong knowledge of CPT, Modifiers, ICD-10 coding.
• Proficiency in billing systems, claims processes, and IT systems such as EPIC and OnCore.
• Excellent analytical and problem-solving skills with the ability to resolve complex billing and compliance issues.
• Strong communication skills and the ability to collaborate effectively with cross-functional teams.
• RedCap experience (highly desired).