Senior Financial Analyst, Revenue and Reimbursement

Prepares monthly, quarterly, and annual revenue analysis and reporting across all hospital and specialty group departments. Ensures revenue recognized for CCMC and CCSG through the month-end close process is in accordance with contracted terms for services rendered. Demonstrates technical knowledge of generally accepted revenue recognition standards specific to the hospital industry. Analyzes incoming payment information and communications from payers, physicians, and patients in conjunction with applicable contract terms, reimbursement schedules, government regulations, and internal policies. Identifies and investigates revenue variances; prepares written analysis and presents findings to leadership as needed. Monitors payer contract performance and identifies opportunities for revenue optimization or recovery. Develops productive relationships across Finance departments, including Revenue Cycle, Financial Operations, Financial Reporting, and Contract Management. Supports the annual revenue budget process, including preparation of supporting schedules and documentation. Provides regular updates to revenue forecasts, incorporating changes in payer mix, utilization trends, contract terms, and regulatory developments. Supports new business initiatives with revenue expectations and scenario modeling. Assists with establishing physician fee schedules by CPT codes for each cost center and department. Supports reimbursement analysis and regulatory compliance monitoring. Ensures all actions are consistent with applicable government regulations, contractual terms, and internal policies and procedures. Maintains current knowledge of changes to CMS regulations, state Medicaid policy, and managed care reimbursement methodologies. Completes various State and Federal reporting requirements in a timely manner. Directs the preparation of support materials related to DSH audits and other audit requirements as needed. Requirements Education: Bachelor’s degree from accredited college or university. Experience: 5 years’ experience in Healthcare Revenue Cycle or Healthcare Finance departments. Knowledge: ICD-10, CPT coding, and medical terminology. Insurance regulations and reimbursement policies, including managed care, Medicare, and Medicaid. Generally accepted revenue recognition standards specific to the hospital industry. State and Federal reporting requirements applicable to healthcare finance. CMS cost report methodology and DSH program requirements. Healthcare financial management principles, including budgeting and forecasting. Microsoft Word and Excel; experience with healthcare financial systems preferred. Skills: Strong analytical and financial modeling skills with a high degree of accuracy and attention to detail. Proficiency in data analysis, variance reporting, and revenue reconciliation. Excellent written and verbal communication skills, including the ability to present financial data clearly to varied audiences. Strong organizational and project management skills with the ability to manage multiple deadlines simultaneously. Ability to develop and maintain effective working relationships across departments. Abilities: Ability to interpret and apply complex regulatory requirements, payer contracts, and internal policies. Ability to work independently under general supervision while exercising sound judgment. Ability to identify problems, analyze root causes, and recommend practical solutions. Ability to adapt to changing priorities in a dynamic healthcare environment. Commitment to maintaining strict confidentiality of all financial and patient-related information. Core Competencies Demonstrates expertise in Healthcare Revenue Cycle Management, including revenue analysis, financial modeling, and compliance with regulatory standards. Proficient in ICD-10, CPT coding, and financial reporting, with strong analytical skills to optimize revenue and support budgeting processes. Highest-signal resume keywords Healthcare Revenue Cycle Management ICD-10 And CPT Coding Financial Modeling And Analysis Regulatory Compliance Monitoring Revenue Optimization Strategies ATS Optimization Keywords Hard Skills Revenue Analysis Financial Reporting Data Analysis Variance Reporting Revenue Reconciliation Budgeting And Forecasting Healthcare Financial Management Contract Management Payer Contract Performance Monitoring CMS Cost Report Methodology Soft Skills Analytical Skills Attention To Detail Written And Verbal Communication Organizational Skills Project Management Industry Keywords Healthcare Finance Insurance Regulations Managed Care Medicare Medicaid State And Federal Reporting Requirements DSH Audits Revenue Recognition Standards Payer Contracts Regulatory Requirements Tools & Technologies Microsoft Word Microsoft Excel Healthcare Financial Systems #J-18808-Ljbffr Jobtailor