HomeHealthcareRevenueCycleEDISystemsAnalyst

# **Become a part of our caring community** As a **Revenue Cycle EDI Systems Analyst** , you will report to the VP, RCM. You will be responsible for supporting, monitoring, and optimizing revenue cycle systems utilized by the FSU. You will ensure accurate and timely billing, compliance with regulatory requirements, and efficient workflows for receivable management activities. The Revenue Cycle Systems Analyst acts as a liaison between the FSU and other internal teams, as well as external business partners, to streamline revenue cycle performance and enhance system functionality. **Key Responsibilities** **System Management & Optimization:** * Support and configure revenue cycle applications utilized for billing and claims management. * Identify and implement process improvements to reduce denials and accelerate reimbursements. * Collaborate with FSU, IT and vendors to troubleshoot and resolve system issues and coordinate upgrades or integrations. **Data Analysis & Reporting:** * Monitor revenue cycle metrics such as errors, rejections and denial rates. * Utilize dashboards and reports to track and identify billing and collections trends. * Provide actionable insights to leadership for decision-making. **Compliance & Quality Assurance:** * Ensure systems align with CMS, HIPAA, and payer requirements. * Respond to internal and external audit and data requests. * Support staff with system use and system issues. **EDI Transaction Management:** * Manage, analyze, and optimize electronic data transactions (837, 835, 270/271, etc.) between the FSU and external vendors. * Collaborate with clearinghouses and payers to resolve transmission, billing and adjudication errors. * Ensure timely submission of claims and receipt of remittance advice. **Cross-Functional Collaboration:** * Partner with internal and external teams to ensure system functionality supports departmental and company goals. * Work with finance to reconcile payments and resolve discrepancies. * Support and tra