Quality Analyst, Revenue Cycle & Financial Verification

The Revenue Cycle (RC) & Financial Verification (FV) Quality Analyst is responsible for improving operations by monitoring key performance indicators (KPI)s and providing the information gathered for employee feedback and interventions across all functions within the Clinical Health Network for Transformation (CHN). The RC & FV Quality Analyst is responsible for reviewing patient charts in both Epic and NextGen electronic health records (EHR) systems to ensure the accuracy and completeness of both the financial verification and revenue cycle processes. Responsibilities include providing feedback to leadership, auditing patient charts, verifying insurance coverage, and identifying discrepancies in insurance verification processes. The role also involves analyzing revenue trends, ensuring accurate billing practices, and developing training materials. Collaboration with supervisors and team members is essential to identify root causes of errors and recommend process improvements. Compliance with organizational policies, payer requirements, and regulatory standards is a key aspect. The analyst serves as a subject matter expert in financial verification and revenue cycle processes and EHR functionalities.