Revenue Cycle Analyst - IS, Full Time

Description

Revenue Cycle Systems Analyst

Oracle Health (Cerner) CommunityWorks

We are seeking an analytical, detail-oriented Revenue Cycle Systems Analyst to support Oracle Health (Cerner) CommunityWorks. This position provides application support, troubleshooting, configuration, testing, and optimization for systems and workflows supporting the healthcare revenue cycle.

The analyst works closely with Information Systems, Patient Access, HIM, Patient Financial Services, clinical departments, Oracle Health, and other vendors to identify system issues, improve workflows, and support accurate and efficient billing and reimbursement.

Requirements

• Associate’s or bachelor’s degree in Information Systems, Healthcare Administration, Health Information Management, Computer Science, or related field, or equivalent experience.
• Three or more years of healthcare revenue cycle, hospital information systems, or healthcare application support experience preferred.
• Experience with Oracle Health (Cerner), preferably CommunityWorks.
• Knowledge of patient registration, charge capture, coding, billing, claims, reimbursement, and revenue cycle workflows.
• Strong analytical, troubleshooting, communication, and problem-solving skills.
• Ability to  manage multiple priorities and work effectively with technical and operational teams.

Preferred Experience

• Hands-on Oracle Health (Cerner) CommunityWorks experience.
• Hospital  and/or physician billing experience.
• Knowledge of UB-04, CMS-1500, Medicare, Medicaid, and commercial payer requirements.
• Experience with healthcare EDI transactions, including 837 and 835.

Key Responsibilities

• Support and troubleshoot Oracle Health (Cerner) CommunityWorks revenue cycle applications and workflows.
• Investigate system issues affecting registration, charge capture, billing, claims, reimbursement, and accounts receivable.
• Support patient access, insurance, authorization, payer, encounter, and billing configurations.
• Troubleshoot claim edits, billing holds, work queues, rejected claims, and delayed accounts.
• Support charge capture, reconciliation, CPT/HCPCS, revenue codes, modifiers, and related billing configurations.
• Assist with 837 claims, 835 remittances, clearinghouse processes, and payer-specific requirements.
• Identify root causes and develop sustainable solutions that reduce manual processes, denials, and billing delays.
• Perform system configuration, testing, upgrades, and change management activities.
• Collaborate with Revenue Cycle leadership, operational departments, Oracle Health, and other vendors on system improvements.
• Maintain compliance with HIPAA, organizational policies, and applicable healthcare regulations.

What We’re Looking For

We are looking for someone who goes beyond resolving tickets. The ideal candidate can follow a transaction through the revenue cycle, identify where a process or system is failing, determine the underlying cause, and help implement a sustainable solution. The right candidate understands how technology and workflow decisions can directly affect reimbursement, productivity, compliance, and overall revenue cycle performance.

Shift: M-F, 8:00 AM - 5:00 PM with call