REVENUE CYCLE ANALYST in Gillette, Wyoming at Campbell County Health

ABOUT CAMPBELL COUNTY HEALTH

Campbell County Health (CCH) is more than just a hospital—we are a comprehensive healthcare system serving northeast Wyoming. Our organization includes Campbell County Memorial Hospital, a 90-bed acute care community hospital in Gillette; Campbell County Medical Group, featuring nearly 20 specialty and primary care clinics—including locations in Wright and Hulett; and The Legacy Living & Rehabilitation Center, a long-term care facility.

To be responsive to our employee’s needs we offer:

• Generous PTO accrual (increases with tenure)
• Paid sick leave days
• Medical/Dental/Vision
• Health Savings Account, Flexible Spending Account, Dependent Care Savings Account
• 403(b) with employer match
• Early Childhood Center, discounted on-site childcare
• And more! Click here to learn more about our full benefits package

JOB SUMMARY

The Revenue Cycle Analyst monitors key performance indicators, reimbursement trends, payer performance, denials, and revenue cycle metrics to identify variances and improvement opportunities. The Revenue Cycle Analyst collaborates with departments across Finance, HIM, Patient Financial Services, Patient Access, IT, and operational leadership to support billing accuracy, charge capture, coding compliance, denial management, and reimbursement optimization. This position prepares routine and ad hoc reports, analyzes payer and financial data, and assists leadership with cash flow and accounts receivable reporting while ensuring compliance with regulatory requirements and payer contracts.

ESSENTIAL FUNCTIONS

• Collects, monitors, documents, and analyzes reimbursement and revenue cycle data.
• Identifies reimbursement trends, delays, denials, pricing discrepancies, billing issues, and payment variances, escalating concerns and recommendations to leadership.
• Prepares daily, weekly, monthly, quarterly, and ad hoc revenue cycle reports and analytics.
• Assists leadership with generating financial and operational reports related to cash flow, accounts receivable, reimbursement, and revenue cycle performance.
• Develops and maintains effective working relationships with departments throughout the organization to support revenue cycle initiatives and operational improvements.
• Provides exceptional customer service to internal and external stakeholders.
• Collaborates frequently with Finance, IT, Patient Financial Services (PFS), HIM, Patient Access, and departmental leadership teams.
• Utilizes payer contract terms, reimbursement methodologies, and payer mix data to support accurate net revenue calculations and reimbursement analysis.
• Monitors coding, billing, reimbursement, and regulatory changes that may impact revenue integrity or reimbursement performance.
• Reviews payer contracts and reimbursement methodologies to ensure accurate reimbursement and maximize revenue opportunities.
• Maintains confidentiality of all personnel, financial, and protected health information.
• Analyzes claim issues and denial trends to identify root causes and recommend corrective actions, including chargemaster updates, process improvements, and department education.
• Partners with department leaders and staff to perform billing and charge capture reviews and identify opportunities for operational improvement.
• Demonstrates knowledge of insurance terminology and contract language, including HMO, PPO, Medicare Advantage, exclusions, timely filing requirements, and reimbursement methodologies.
• Maintains working knowledge of coding guidelines and concepts, including bundling, modifiers, medical necessity, and MUE edits.
• Demonstrates familiarity with CPT, HCPCS, and ICD-10 coding systems.
• Maintains proficiency in patient billing and accounting systems and assists with user support and training as needed.
• Participates in mandatory education and professional development activities.
• Promotes and adheres to organizational customer service standards in all interactions with patients, visitors, staff, and external partners.
• Complies with all applicable federal and state regulations, organizational policies, and the hospital’s Corporate Compliance Program, including the Code of Conduct.
• Must remain free from governmental sanctions involving healthcare and/or financial practices.
• Performs additional duties

QUALIFICATIONS

• Education
  • Bachelor’s degree in Healthcare Administration, Health Information Management, Business, Finance, or related field preferred.
  • Associate degree in a healthcare-related field or equivalent combination of education and relevant experience may be considered.
• Licensure & Certifications
  • RHIA, RHIT, CPC, CCS, or similar certification preferred, but not required.
• Experience
  • Minimum of three (3) years of experience in a hospital or healthcare setting preferred.
  • Revenue cycle, reimbursement, billing, coding, or financial analysis experience preferred.
  • EPIC experience preferred.