Revenue Cycle Analyst III

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Position Title: Revenue Cycle Management Analyst III
Department: Revenue Cycle Management?|?Reports To: VP, Revenue Cycle Management?|?Date: October 2025?|?

Job Summary
The Revenue Cycle Management Analyst III supports all revenue cycle functions to ensure efficient workflows, data integrity, and compliance with federal, state, and payer regulations. This role performs advanced analysis of revenue, charges, and reimbursement to optimize financial performance. The Analyst III provides technical and operational expertise for system implementations, upgrades, testing, and data validation. Serves as liaison among RCM teams, IT, finance, and clinical departments to improve automation, reporting, and process integrity across the revenue cycle.

Key Responsibilities

• Develop, analyze, and maintain revenue cycle dashboards, reports, and KPIs.
• Collaborate with finance, decision support, managed care, and reimbursement teams to monitor payer performance and contract compliance.
• Conduct contract variance analysis and support appeals for underpayments.
• Audit billing and charge processes to ensure accuracy and compliance.
• Lead and assist with RCM projects, workflow redesign, and system upgrades.
• Provide user support, training, and job aids for RCM systems and processes.
• Support charge description master (CDM) accuracy, annual coding updates, and compliance reviews.
• Research data trends, document findings, and recommend improvements.
• Communicate effectively with leadership and frontline staff regarding performance metrics and corrective actions.

Qualifications
Education: Bachelor’s degree in Healthcare Administration, Finance, Computer Science, or related field; or equivalent experience (3+ years in RCM analytics).
Certification: HFMA Certified Revenue Cycle Representative (CRCR) required within 9 months of hire.
Experience: Strong background in revenue cycle reporting, database tools, payer reimbursement, and healthcare financial analysis.
Skills: Advanced Excel; proficiency with SQL, Access, and PowerPoint; familiarity with Epic/Cerner billing systems preferred. Excellent analytical, organizational, and communication skills.
Interpersonal: Demonstrates accountability, teamwork, and professionalism consistent with NorthBay’s values.
Physical/Work Conditions: Primarily office-based; minimal lifting; 8-hour shifts with reliable attendance required.

Performance Standards

• Adheres to Core values (20%).
• Provides compliant, accurate charge management and CDM support (30%).
• Performs other assigned duties, projects, and team collaboration (5%).
• Demonstrates consistent professionalism, dependability, and initiative

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