Senior RCM Analyst

Senior RCM Analyst

Job Profile: Hybrid

Designation: Senior RCM Analyst

Job Type: Full-time

Experience: 5+ Years

Education: Graduate / Post Graduate

Shift Timing: Night Shift (7 PM 4 AM)

Roles and Responsibilities

• Analyze revenue cycle data to identify trends, patterns, and areas of revenue leakage.
• Generate reports and dashboards using MS Excel; proficiency in BI tools (Tableau/Power BI) is an added advantage.
• Conduct root-cause analysis of claim denials, rejections, and underpayments, and recommend preventive strategies.
• Monitor and report on key RCM metrics (AR days, denial rates, clean claim rates, collection rates).
• Collaborate with billing, coding, and clinical teams to drive process improvements and optimize workflows.
• Ensure accuracy, integrity, and compliance of data with industry standards (HIPAA).
• Identify opportunities for automation to enhance efficiency and accuracy.
• Build and maintain databases, data collection systems, and data models for consistent reporting.

Skills Required

Technical Skills

• Advanced proficiency in Microsoft Excel; experience with BI tools (Tableau/Power BI).
• Familiarity with EHR and RCM systems.
• Knowledge of medical coding systems (ICD-10-CM, CPT, HCPCS) and claims submission processes.

Optional Skills

• SQL expertise for database management and querying.
• Familiarity with programming languages (Python/R) for advanced data analysis.

Soft Skills

• Strong analytical and problem-solving abilities.
• Excellent communication skills (written and verbal) for both technical and non-technical audiences.
• High attention to detail to ensure accuracy in data, coding, and billing.

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