
Engineering
Revenue Cycle Performance Analyst
TapestryHealth
Full-Time
Mid-Level
$90k – $100k/yr
Remote
Posted 4w ago
Tech Stack
GoRustAWS
Job Description
**Company Overview:**
TapestryHealth is dedicated to improving the quality of care for patients in skilled nursing facilities. We deliver innovative, technology\-enabled healthcare solutions designed to enhance patient outcomes, optimize operations, and support the unique needs of long\-term care providers. With a team of experienced professionals and cutting\-edge tools, we collaborate with our partners to ensure the highest standards of care while reducing barriers to access and efficiency. Together, we are transforming healthcare for the better — one patient, one facility, and one solution at a time.
**Job Overview:**
We are seeking an experienced, highly organized, and meticulous Revenue Cycle Performance Analyst. The ideal candidate will be responsible for overseeing reporting, analysis, and reconciliation related to gross and net revenue, specifically but not limited to denials management, charge lag, and charge capture.
**Key Responsibilities:**
* Work with the external billing partner to ensure all billing and coding edits are functioning as expected. Recommend new edits as needed.
* Analyze workflow and operational procedures to identify opportunities for improved reimbursement
* Understand physician billing charge capture process and compliance issues and can provide resolution by performing research, utilizing third party payor regulations, referencing billing guidelines and CMS guidelines
* Identify root causes of billing issues related to charge capture, billing errors, clearinghouse or payer edits, and coordinates efforts with the Coding Specialist and external billing partner to minimize recurring issues
* Develop a strategy to identify and monitor payer payment variances
* Work closely with Operations and IT to ensure all services are captured, recorded, processed, and billed in an accurate and timely manner. Understand reasons behind delayed charge capture.
* Work with external billing partner to regularly review, update and maintain the CDM
* Assist the Coding Specialist with system updates for yearly CPT and ICD\-10 code changes
* Work with revenue cycle leadership (Mgr. \& VP) and external billing partner to review and communicate the revenue impact of the annual Medicare Physician Fee Schedule changes
* Develop dashboards and report cards to monitor and report progress and trends to revenue cycle leadership (Mgr. \& VP) weekly
* Serve as a trusted revenue integrity partner to operational, legal, compliance, information technology, and other teams
* Stay up to date on regulatory requirements associated with governmental, managed care, and commercial payers
**Qualifications:**
Required:
* Associate's degree in healthcare or equivalent combination of education and experience
* 4\-5 years of experience in revenue integrity for a multi\-specialty healthcare facility
* Ability to relate well to all kinds of people, up, down, and sideways, inside and outside the organization
* Strong computer skills including advanced knowledge of Microsoft Excel, Word, PowerPoint, Outlook, and OneDrive
* Exceptional analytic aptitude with the ability to analyze large amounts of data, identify patterns, and draw conclusions
* Excellent project management skills
* SQL experience
* Strong attention to detail, critical thinking and problem\-solving skills
* Certified Professional Biller (CPB)
* Certified Professional Coder (CPC)
The anticipated salary range for this role is $90\-100K annualized. This remote position follows a location\-based compensation structure. The posted salary range represents the potential pay range across various U.S. geographic markets. Actual compensation will be determined based on the candidate’s primary work location, experience, qualifications, and internal equity considerations, in accordance with applicable pay transparency laws.
Get jobs like this in your inbox
Join thousands of digital nomads getting the best remote jobs delivered weekly. Free, no spam.