Senior Financial Analyst, Revenue Cycle Management

Overview At Stony Brook Medicine, the Senior Financial Analyst, Revenue Cycle Management is responsible for the development, implementation, maintenance, review and audit of the Hospital Charge Description Master to optimize revenue generation and maintain compliance with State, Federal and third party payer regulations and requirements across the health system. This position provides charging advice, support and education to Hospital departments, affiliates and other stakeholders. Requires utilization of coding guidelines, billing and payment regulations, and third party contracts, as well as the Hospital inventory management system, electronic medical record and departmental documentation programs. The CDM Analyst will continually interact with Hospital department staff to ensure that all chargeable procedures, treatments, supplies and implants are appropriately charged. The Analyst will engage with service department staff and affiliates to develop and maintain audit programs which reconcile services performed to charges captured. In this role, the Analyst will work with Information Technology and service departments to develop testing and monitoring strategies to support the implementation of new charge capture systems and methodologies. Will utilize the hospital’s charge master maintenance software (Craneware) to maintain the integrity of the charge master and ensure adherence to hospital policy with respect to pricing and materiality. Responsibilities Provide charging advice, support and education to Hospital departments, affiliates and other stakeholders. Utilization of coding guidelines, billing and payment regulations, and third party contracts, as well as the Hospital inventory management system, electronic medical record and departmental documentation programs. Continually interact with Hospital department staff to ensure that all chargeable procedures, treatments, supplies and implants are appropriately charged. Engage with service department staff and affiliates to develop and maintain audit programs which reconcile services performed to charges captured. Work with Information Technology and service departments to develop testing and monitoring strategies to support the implementation of new charge capture systems and methodologies. Utilize the hospital’s charge master maintenance software (Craneware) to maintain the integrity of the charge master and ensure adherence to hospital policy with respect to pricing and materiality. Perform retrospective and concurrent charge capture audits utilizing both software tools and/or E.M.R. and documentation review. May assist in the resolution of pre-billing charging issues and post-payment charge related denials. Assist in system configuration and maintenance. Act to support service departments and interfacing with vendor technical support as needed. Other duties as assigned. Qualifications Required Qualifications: Bachelor of Science in Nursing, Accounting, Finance, Health Information Management, Health Administration, Computer Science or related field or Associates Degree plus relevant professional certification, licensure and experience. Minimum three plus years’ experience in charge/reimbursement analysis, maintenance, audit or review for a Hospital Finance or Revenue Cycle Department. Strong working knowledge of CPT, HCPCS and ICD-10 coding principles. Proficient in MS Excel. Excellent written and verbal communication skills. Preferred Qualifications: CCS, CCS-P, CPC, CCDS, RHIA or RHIT certification. Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare and New York Medicaid reimbursement methodologies. Knowledge of other governmental and third party payer reimbursement methodologies. Proficiency in the use of Craneware Active Charge Master Toolkit, Pharmacy Chargelink, Supplies Chargelink and/or Bill Analyzer. Experience in Revenue Cycle Operational areas including: coding, revenue integrity, patient accounting and/or reimbursement. Special Notes Resume/CV should be included with the online application. Posting Overview This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised that for full consideration, applications must be received before the initial review date. If no candidate is selected during the initial review, additional applications may be considered; the posting will close at minimal two weeks after the initial posting date. If no candidate is identified and hired within 90 days from initial posting, the posting may close for review and possibly be reposted. Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises. All Hospital positions may be subject to changes in pass days and shifts as necessary. This position may require wearing respiratory protection, which may prohibit the wearing of facial hair. This function/position may be designated as “essential.” In emergencies, employees in such positions may be required to remain at their work location or report to work to protect, recover, and continue operations. Pre-employment Requirements Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services* Complete electronic reference check with a minimum of three professional references. Successfully complete a 4 panel drug screen* Meet Regulatory Requirements for pre employment screenings. Provide a copy of any required New York State license(s)/certificate(s). Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer. Equal Opportunity Stony Brook University is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws. If you need a disability-related accommodation, please call the University Office of Equity and Access at (631)632-6280. #J-18808-Ljbffr

Created: 2025-09-17