Revenue Cycle Support Analyst
Summary
| Title: | Revenue Cycle Support Analyst |
|---|---|
| ID: | 10363 |
| Department: | Operations |
| Location : | Remote |
Description
Position Summary
The Revenue Cycle Support Analyst will provide operational and analytical support to the Defense Health Agency (DHA) Uniform Business Office (UBO) program. The position will support healthcare revenue cycle activities with an emphasis on medical coding, Charge Description Master (CDM) management, charge capture, billing, reimbursement, revenue integrity, and process improvement. The ideal candidate will have hands-on healthcare revenue cycle experience with a strong understanding of coding and charge master processes. This individual will work collaboratively with UBO leadership, analysts, coding professionals, and other stakeholders to identify revenue-cycle opportunities, improve data accuracy, and support effective billing and reimbursement practices across the Military Health System.
Key Responsibilities
• Provide operational and analytical support for DHA UBO revenue cycle initiatives.
• Review and analyze revenue cycle processes across front-end, mid-cycle, and backend operations.
• Support Charge Description Master (CDM) review, maintenance, validation, and optimization activities.
• Review charge capture processes to identify missing, incorrect, or inconsistent charges.
• Apply knowledge of CPT, HCPCS, ICD-10-CM, modifiers, coding guidelines, and reimbursement requirements.
• Assist with coding, billing, and revenue integrity reviews and audits.
• Analyze claims, charges, denials, payments, and other revenue-cycle data to identify trends and opportunities for improvement.
• Research coding, reimbursement, payer, and billing requirements and communicate findings to the project team.
• Support identification and resolution of coding, billing, charge capture, and reimbursement discrepancies.
• Assist with development and monitoring of revenue-cycle performance metrics and key performance indicators (KPIs).
• Support data validation and quality-assurance activities.
• Develop reports, trackers, presentations, process documentation, and standard operating procedures.
• Document findings and provide recommendations to project leadership and client stakeholders.
• Participate in UBO meetings, working groups, audits, and process-improvement initiatives.
• Collaborate with multidisciplinary teams to support UBO objectives and contract deliverables.
Required Qualifications
• 5–7 years of experience in healthcare revenue cycle, medical coding, billing, revenue integrity, reimbursement, or related healthcare operations.
• Current professional coding certification, such as CPC, CCS, CCS-P, COC, CIC, or equivalent nationally recognized certification.
• Working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and healthcare coding guidelines.
• Understanding of hospital and/or professional billing and reimbursement processes.
• Experience reviewing and analyzing healthcare revenue-cycle data.
• Strong analytical, research, and problem-solving skills.
• Ability to identify discrepancies and clearly document findings and recommendations.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Excel, Word, PowerPoint, and Teams.
• Ability to independently manage multiple priorities and meet established deadlines.
• Ability to obtain and maintain required DHA/DoD system and security access.
Desired Skills
• Charge Description Master (CDM) experience strongly preferred.
• Experience performing CDM maintenance, reviews, audits, or optimization.
• Experience with charge capture and revenue integrity.
• Medical coding audit experience.
• Knowledge of Medicare, TRICARE, commercial payer, and other reimbursement methodologies.
• Experience with claims, denials, accounts receivable, payment analysis, or payer reimbursement.
• Experience identifying potential lost revenue or reimbursement opportunities.
• Knowledge of healthcare compliance and billing requirements.
• Experience developing revenue-cycle metrics, dashboards, or reports.
• Experience developing SOPs, workflows, job aids, or process documentation.
• Experience supporting the Military Health System (MHS), DHA, Department of Defense, VA, or another federal healthcare environment.
• Familiarity with DHA UBO programs and healthcare reimbursement operations is highly desirable.
Education
Bachelor's degree in Health Information Management, Healthcare Administration, Health Sciences, Business, Finance, or a related field preferred.
Relevant professional experience may be considered in lieu of a degree.
Preferred Certifications
In addition to the required coding certification, the following are desirable:
• Certified Professional Medical Auditor (CPMA)
• Certified Revenue Cycle Representative (CRCR)
• Certified Professional Biller (CPB)
• Certified Documentation Expert – Outpatient (CDEO)
• Other relevant revenue cycle, auditing, compliance, or healthcare financial management certifications
Ideal Candidate
The ideal candidate is a healthcare revenue cycle professional with a strong coding foundation who has practical experience with Charge Description Master processes, charge capture, and revenue integrity. The candidate should be comfortable working with healthcare data, researching complex billing and coding issues, identifying opportunities for improvement, and communicating findings to both operational and leadership stakeholders. Experience within DHA, the Military Health System, or another complex healthcare organization is highly desirable. This should give recruiting enough flexibility to find someone with strong coding experience who also understands CDM, without making the CDM background so restrictive that you lose otherwise qualified revenue-cycle candidates.
The Revenue Cycle Support Analyst will provide operational and analytical support to the Defense Health Agency (DHA) Uniform Business Office (UBO) program. The position will support healthcare revenue cycle activities with an emphasis on medical coding, Charge Description Master (CDM) management, charge capture, billing, reimbursement, revenue integrity, and process improvement. The ideal candidate will have hands-on healthcare revenue cycle experience with a strong understanding of coding and charge master processes. This individual will work collaboratively with UBO leadership, analysts, coding professionals, and other stakeholders to identify revenue-cycle opportunities, improve data accuracy, and support effective billing and reimbursement practices across the Military Health System.
Key Responsibilities
• Provide operational and analytical support for DHA UBO revenue cycle initiatives.
• Review and analyze revenue cycle processes across front-end, mid-cycle, and backend operations.
• Support Charge Description Master (CDM) review, maintenance, validation, and optimization activities.
• Review charge capture processes to identify missing, incorrect, or inconsistent charges.
• Apply knowledge of CPT, HCPCS, ICD-10-CM, modifiers, coding guidelines, and reimbursement requirements.
• Assist with coding, billing, and revenue integrity reviews and audits.
• Analyze claims, charges, denials, payments, and other revenue-cycle data to identify trends and opportunities for improvement.
• Research coding, reimbursement, payer, and billing requirements and communicate findings to the project team.
• Support identification and resolution of coding, billing, charge capture, and reimbursement discrepancies.
• Assist with development and monitoring of revenue-cycle performance metrics and key performance indicators (KPIs).
• Support data validation and quality-assurance activities.
• Develop reports, trackers, presentations, process documentation, and standard operating procedures.
• Document findings and provide recommendations to project leadership and client stakeholders.
• Participate in UBO meetings, working groups, audits, and process-improvement initiatives.
• Collaborate with multidisciplinary teams to support UBO objectives and contract deliverables.
Required Qualifications
• 5–7 years of experience in healthcare revenue cycle, medical coding, billing, revenue integrity, reimbursement, or related healthcare operations.
• Current professional coding certification, such as CPC, CCS, CCS-P, COC, CIC, or equivalent nationally recognized certification.
• Working knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and healthcare coding guidelines.
• Understanding of hospital and/or professional billing and reimbursement processes.
• Experience reviewing and analyzing healthcare revenue-cycle data.
• Strong analytical, research, and problem-solving skills.
• Ability to identify discrepancies and clearly document findings and recommendations.
• Strong written and verbal communication skills.
• Proficiency with Microsoft Excel, Word, PowerPoint, and Teams.
• Ability to independently manage multiple priorities and meet established deadlines.
• Ability to obtain and maintain required DHA/DoD system and security access.
Desired Skills
• Charge Description Master (CDM) experience strongly preferred.
• Experience performing CDM maintenance, reviews, audits, or optimization.
• Experience with charge capture and revenue integrity.
• Medical coding audit experience.
• Knowledge of Medicare, TRICARE, commercial payer, and other reimbursement methodologies.
• Experience with claims, denials, accounts receivable, payment analysis, or payer reimbursement.
• Experience identifying potential lost revenue or reimbursement opportunities.
• Knowledge of healthcare compliance and billing requirements.
• Experience developing revenue-cycle metrics, dashboards, or reports.
• Experience developing SOPs, workflows, job aids, or process documentation.
• Experience supporting the Military Health System (MHS), DHA, Department of Defense, VA, or another federal healthcare environment.
• Familiarity with DHA UBO programs and healthcare reimbursement operations is highly desirable.
Education
Bachelor's degree in Health Information Management, Healthcare Administration, Health Sciences, Business, Finance, or a related field preferred.
Relevant professional experience may be considered in lieu of a degree.
Preferred Certifications
In addition to the required coding certification, the following are desirable:
• Certified Professional Medical Auditor (CPMA)
• Certified Revenue Cycle Representative (CRCR)
• Certified Professional Biller (CPB)
• Certified Documentation Expert – Outpatient (CDEO)
• Other relevant revenue cycle, auditing, compliance, or healthcare financial management certifications
Ideal Candidate
The ideal candidate is a healthcare revenue cycle professional with a strong coding foundation who has practical experience with Charge Description Master processes, charge capture, and revenue integrity. The candidate should be comfortable working with healthcare data, researching complex billing and coding issues, identifying opportunities for improvement, and communicating findings to both operational and leadership stakeholders. Experience within DHA, the Military Health System, or another complex healthcare organization is highly desirable. This should give recruiting enough flexibility to find someone with strong coding experience who also understands CDM, without making the CDM background so restrictive that you lose otherwise qualified revenue-cycle candidates.
