Revenue Cycle Analyst

Description

Join Andalusia Health in Andalusia, AL, an 88-bed, Joint Commission-accredited hospital that has earned chest pain and heart failure accreditations, and designation as a Baby-Friendly hospital. Andalusia delivers a broad range of inpatient and outpatient specialty services while embracing a shared commitment to patient safety and high-quality care. Grow your career with Andalusia, where we value your contributions to the community we serve.

Job Summary

The Revenue Cycle Analyst is responsible for reviewing emergency department records to ensure all patient charges are complete, accurate, and properly supported by clinical documentation. The Analyst plays a key role in charge reconciliation and documentation validation to support revenue integrity and reduce lost charges in the emergency care setting.

Essential Functions

• Reviews all emergency department (ED) patient records daily to verify accurate and complete charge capture.
• Validates evaluation and management (E&M) acuity levels based on documented services and clinical findings.
• Confirms that ED procedure charges align with performed services and documentation.
• Audits charges related to IV/IM injections, IV fluid therapy, and supply usage for accuracy and completeness.
• Identifies and processes necessary charge corrections and additions based on supporting documentation.
• Enters and deletes charges through the order entry system in accordance with supervisory approval.
• Maintains a log of all processed charge corrections for audit and compliance purposes.
• Tracks and reports potential lost charges to support process improvement efforts.
• Provides weekly feedback to leadership regarding charge accuracy and documentation trends.
• Maintains patient confidentiality and adheres to HIPAA regulations at all times.
• Performs other administrative duties including sanitizing work area and supporting departmental needs.
• Participates in ongoing performance improvement and revenue cycle initiatives.

Knowledge/Skills/Abilities/Expectations

• Understanding of hospital billing practices, CPT/HCPCS codes, and charge entry workflows.
• Familiarity with EHR systems and basic knowledge of emergency department clinical processes.
• Detail-oriented with strong organizational and analytical skills.
• Ability to prioritize tasks, meet deadlines, and communicate effectively.
• Commitment to confidentiality, integrity, and compliance.

Qualifications

Education

• High School Diploma or Equivalent including education equivalent to completion of secondary school or demonstrated ability to perform the essential functions of the role (preferred)

Licenses/Certifications

• None required.

Experience

• Ability to read, write, and analyze medical documentation required.
• Experience in revenue cycle, medical billing, or coding preferred.
• Must be able to work independently and in high-pressure environments.