Job Description

Job Description

Job Description

REVENUE CYCLE ANALYST

ABOUT CAMPBELL COUNTY HEALTH

Campbell County Health (CCH) is more than just a hospital—we are a comprehensive healthcare system serving northeast Wyoming. Our organization includes Campbell County Memorial Hospital, a 90-bed acute care community hospital in Gillette; Campbell County Medical Group, featuring nearly 20 specialty and primary care clinics—including locations in Wright and Hulett; and The Legacy Living & Rehabilitation Center, a long-term care facility.

To be responsive to our employee’s needs we offer:

• Generous PTO accrual (increases with tenure)
• Paid sick leave days
• Medical/Dental/Vision
• Health Savings Account, Flexible Spending Account, Dependent Care Savings Account
• 403(b) with employer match
• Early Childhood Center, discounted on-site childcare
• And more! Click here to learn more about our full benefits package

JOB SUMMARY

The Revenue Cycle Analyst plays a key role in ensuring financial excellence across Campbell County Health. This position partners with the Revenue Cycle Director and cross-functional teams to analyze data, identify opportunities for improvement, and strengthen revenue management processes.

The role is responsible for tracking key performance indicators, evaluating vendor performance, and developing actionable plans that enhance efficiency and accuracy throughout the revenue cycle, including billing, charge capture, coding, denial management, and self-pay operations. The Revenue Cycle Analyst contributes to informed decision-making and ensures Campbell County Health receives appropriate reimbursement for services provided.

ESSENTIAL FUNCTIONS

• Responsible for collecting, documenting and analyzing reimbursement data.
• Reports any reimbursement trends/delays to management. (e.g., billing, denials, claim denials, pricing errors, payments, etc.)
• Prepares daily, weekly, monthly and quarterly reports – including ad hoc reports as needed.
• Assist Management with generating reports.
• Establish relationships with other CCH departments; build and maintain effective business partner relationships.
• Provides exceptional customer service to internal and external customers.
• Interacts frequently with other Finance staff, IT staff, PFS staff, HIM staff, Patient Access staff and Management.
• Utilizes current payer contract terms and payer mix information to estimate net revenue calculations.
• Monitors coding and billing updates or changes that could affect revenue and assesses contract terms and methodologies to ensure maximum reimbursement.
• Maintains confidentiality of all personnel and personal health information.
• Analyses and trends claim issues for root cause resolution, including chargemaster corrections, department education or other process improvements.
• Work with Department Directors/Managers and any other staff to do billing reviews and identify opportunities to improve charge capture.
• Understands insurance terms and contract language (e.g., HMO, PPO, Medicare Advantage, % of charges, exclusions, Timely Filing).
• Fluent in understanding Coding rules/concepts; bundling issues, MUE and modifier issues, medical necessity, etc.
• Familiar with CPT, HCPCs, and ICD10 Coding systems.
• Performs other duties as assigned.
• Actively participates in Mandatory Education programs.
• Adheres and actively participates in customer service standards and promotes a service orientation in the performance of job duties and responsibilities and interactions with patients, visitors, and other staff members.
• Must be free from governmental sanctions involving health care and/or financial practices.
• Complies with the hospital’s Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital policies and procedures.

JOB QUALIFICATIONS

• Education
  • Bachelor’s degree in healthcare preferred, or associate’s degree in healthcare will be accepted or equivalent years of experience will be considered.
• Licensure
  • None
• Certifications Required
  • Preferred RHIA, RHIT, CPC or CCS but not required.
• Experience
  • Three (3) years’ experience in a hospital setting, healthcare industry preferred. EPIC experience preferred.

Knowledge, Skills, and Abilities

• Must be proficient in medical terminology
• Current knowledge of revenue cycle processes and hospital/medical billing.
• Must be proficient in understanding CPT. HCPCs, ICD10 coding conventions.
• Current knowledge of NCCI edits, Medical Necessity rules as applied in LCD/NCD/LCA/NCA policies.
• This position requires interpersonal and communication skills, analytical and organizational skills, critical thinking and the ability to meet deadlines.

PIdc444b7e71c2-25405-39053858

Job Tags

Similar Jobs