Senior Financial Healthcare Analyst - Healthcare Reporting (Hybrid)

Job Description

The Senior Financial Healthcare Analyst is responsible for assisting with the development, design, maintenance, coordination and implementation of reporting systems for business operations and management. Responsibilities include, but are not limited to, accessing data through a variety of databases and the creation of accurate, meaningful and relevant reports for diverse audiences; assisting with the administration and implementation financial initiatives; assisting in the interpretation of policies/procedures/practices.

Financial Reporting Analyst:

• Utilizes knowledge of CPT codes, Dx codes, and billing data to assess and report on financial performance.
• Responsible for Physician Group RVU reporting and analysis, maintaining physician compensation database; interpretation of pay practices as stipulated in services agreements
• Responsible for the preparation and development of physician employment PL’s, health-plans PLs, ad hoc analysis and other financial reports as needed.
• Reviews, analyzes, and reports on healthcare contracts (e.g., physician agreements, payer contracts) to assess financial performance, revenue generation, and profitability. Analyzes managed care contracts for compliance and financial performance, identifying areas for optimization.
  
  

Qualifications

Experience:

Five (5) plus years of experience in reviewing and interpreting patient medical records using CPT and ICD10 coding systems required. Healthcare experience highly preferred.

Technical understanding of Healthcare Data systems is needed. Knowledge of electronic health records (EHR), claims data, and health information systems (e.ge., Epic, Cerner); Familiarity with ICD-10, CPT, and HCPCS codes, as well as other coding standards in managed care.

Education:

Bachelor’s degree in Finance, Accounting, Healthcare Management, or related field of study required.