Revenue Analyst

About the Role

We are seeking a detail-oriented Revenue Analyst to transform complex clinical and operational data into actionable financial and revenue insights. In this role, you will be the analytical bridge between raw healthcare information and strategic revenue decision-making, ensuring that facility operations are data-driven, patient-centered, and compliant with rigorous industry standards. You will focus on maximizing resource utilization, improving revenue cycles through predictive modeling, and ensuring the integrity of healthcare financial datasets.

Key Responsibilities

• Data Optimization & Analytics: Design and refine analytical models using data-driven methodologies to identify operational bottlenecks, optimize billing workflows, and enhance patient throughput and revenue streams.
• Compliance & Data Validation: Author and execute data validation protocols to ensure all financial and clinical reporting aligns with HIPAA, JCAHO standards, and state/federal healthcare regulatory requirements.
• Technical Documentation & Reporting: Maintain accurate financial dashboards, revenue cycle metrics, and trend reports within Electronic Health Record (EHR), ERP, and Business Intelligence (BI) systems.
• Information Management: Oversee the integrity of data procurement and the maintenance of database infrastructure; coordinate with IT vendors for specialized revenue cycle and healthcare analytics software.
• Quality Management: Conduct Root Cause Analysis (RCA) on revenue leakage or service delivery gaps by analyzing clinical and financial data and implement data-backed Corrective and Preventive Actions (CAPA).
• Cross-Functional Liaison: Act as the primary analytical contact for Clinical Directors, Finance, and Human Resources to provide data support for facility operations, billing efficiency, and staff management.

Requirements & Tech Stack

• Proficiency in Health Information Systems (e.g., Epic, Cerner) and data visualization tools (e.g., Tableau, Power BI).
• Strong grasp of SQL, Python, or R for healthcare data manipulation and revenue cycle management analysis.
• Experience with ERP systems and database management for resource scheduling, billing, and inventory tracking.
• Ability to interpret complex healthcare datasets, financial reports, and regulatory policies.

Qualifications

• Education: Bachelor’s degree in Health Informatics, Statistics, Finance, Healthcare Administration, or a related quantitative field (Required).
• Experience: 0–5 years of experience in revenue cycle or data analysis within a clinical, hospital, or outpatient healthcare environment.
• Preferred Skills:
• Master’s in Health Informatics, Data Science, Finance, or MHA.
• Experience in regulated environments (Hospitals, Pharma/GxP, or Health Insurance).
• Certified Health Data Analyst (CHDA), Certified Revenue Cycle Representative (CRCR), or Six Sigma Green Belt.