The Spine Hospital of Louisiana
Hospital Revenue Cycle Specialist - Data Analyst & Project Manager
The Spine Hospital of Louisiana, Baton Rouge, Louisiana, us, 70873
Hospital Revenue Cycle Specialist - Data Analyst & Project Manager
Join to apply for the
Hospital Revenue Cycle Specialist - Data Analyst & Project Manager
role at
The Spine Hospital of Louisiana
POSITION SUMMARY The Hospital Revenue Cycle Specialist - Data Analyst & Project Manager is responsible for leading cross‑functional revenue cycle projects and providing advanced analytical support to improve financial performance, compliance, and operational efficiency. This role blends high‑level data analysis with hands‑on project management to drive improvement across scheduling, registration, authorization, coding, billing, revenue integrity, and clinical workflows.
ESSENTIAL JOB FUNCTIONS Data Analytics & Reporting
Analyze revenue cycle KPIs, including AR days, DNFB, denial trends, charge lag, reimbursement variances, and operational bottlenecks.
Develop recurring dashboards and ad‑hoc reports using Excel, SQL, or similar tools.
Monitor payer contract performance and expected reimbursement.
Validate data sources to ensure accuracy and consistency across systems.
Project Management & Leadership
Lead medium- and large‑scale revenue cycle projects across hospital departments.
Develop project plans, timelines, and charters; track milestones and ensure accountability.
Facilitate meetings, drive communication, and remove barriers to project progression.
Assist in identifying and vetting vendors for revenue cycle optimization.
Conduct current‑state workflow assessments and design optimized future‑state workflows.
Support system upgrades, workflow enhancements, and technology implementations.
Coordinate testing, validation, and adoption of new processes in Meditech Expanse, FinThrive, Experian, and related systems.
Denials, Revenue Integrity & Compliance
Identify root causes of denials and develop corrective action strategies.
Support internal and external audits, including DRG downgrades, clinical validation appeals, and documentation reviews.
Monitor coding accuracy, documentation completeness, and charge capture processes.
Stay current on CMS regulatory changes and payer billing requirements.
Cross Department Collaboration
Work with Patient Access, Coding/HIM, Business Office, Case Management, IT, and clinical departments to resolve issues and improve workflows.
Serve as a technical and analytical resource to leadership.
Partner closely with the Information Technology team on system configurations, data integrity, and reporting automation.
Maintain a strong working relationship with the Accounting Analyst to ensure alignment between revenue cycle data and financial reporting.
Present findings to non‑technical audiences in a clear and actionable format.
Perform other duties as assigned.
Requirements Education
Bachelor’s degree in Healthcare Administration, Business, Finance, Data Analytics, or a related field required.
Experience – Required
Minimum of 3–5 years of hospital revenue cycle experience.
Formal, hands‑on project management experience leading cross‑functional initiatives, building project plans, managing timelines, facilitating groups, etc.
Strong understanding of hospital billing, coding concepts, payer rules, and reimbursement methodologies (DRG, APC, OPPS, ASC).
Experience – Preferred
Experience with Meditech Expanse, FinThrive, Experian/Passport, or similar HIS platforms.
Skills & Competencies
Advanced Excel skills required; SQL, Power BI, or Tableau strongly preferred.
Proven ability to manage complex projects with multiple stakeholders.
Strong analytical, critical‑thinking, and problem‑solving skills.
Excellent written and verbal communication abilities.
Ability to handle multiple priorities in a fast‑paced environment.
High attention to detail and commitment to data accuracy.
Performance Expectations
Produce accurate, timely analytical deliverables.
Successfully lead projects to completion within scope and timeline.
Maintain strong internal partnerships and communication.
Demonstrate initiative, problem‑solving, and continuous improvement.
Adhere to compliance, HIPAA, and organizational standards.
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, marital status, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by federal, state, or local law. Our company values diversity and inclusion, and we encourage all qualified applicants to apply for job openings.
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Information Technology
Hospitals and Health Care
#J-18808-Ljbffr
Hospital Revenue Cycle Specialist - Data Analyst & Project Manager
role at
The Spine Hospital of Louisiana
POSITION SUMMARY The Hospital Revenue Cycle Specialist - Data Analyst & Project Manager is responsible for leading cross‑functional revenue cycle projects and providing advanced analytical support to improve financial performance, compliance, and operational efficiency. This role blends high‑level data analysis with hands‑on project management to drive improvement across scheduling, registration, authorization, coding, billing, revenue integrity, and clinical workflows.
ESSENTIAL JOB FUNCTIONS Data Analytics & Reporting
Analyze revenue cycle KPIs, including AR days, DNFB, denial trends, charge lag, reimbursement variances, and operational bottlenecks.
Develop recurring dashboards and ad‑hoc reports using Excel, SQL, or similar tools.
Monitor payer contract performance and expected reimbursement.
Validate data sources to ensure accuracy and consistency across systems.
Project Management & Leadership
Lead medium- and large‑scale revenue cycle projects across hospital departments.
Develop project plans, timelines, and charters; track milestones and ensure accountability.
Facilitate meetings, drive communication, and remove barriers to project progression.
Assist in identifying and vetting vendors for revenue cycle optimization.
Conduct current‑state workflow assessments and design optimized future‑state workflows.
Support system upgrades, workflow enhancements, and technology implementations.
Coordinate testing, validation, and adoption of new processes in Meditech Expanse, FinThrive, Experian, and related systems.
Denials, Revenue Integrity & Compliance
Identify root causes of denials and develop corrective action strategies.
Support internal and external audits, including DRG downgrades, clinical validation appeals, and documentation reviews.
Monitor coding accuracy, documentation completeness, and charge capture processes.
Stay current on CMS regulatory changes and payer billing requirements.
Cross Department Collaboration
Work with Patient Access, Coding/HIM, Business Office, Case Management, IT, and clinical departments to resolve issues and improve workflows.
Serve as a technical and analytical resource to leadership.
Partner closely with the Information Technology team on system configurations, data integrity, and reporting automation.
Maintain a strong working relationship with the Accounting Analyst to ensure alignment between revenue cycle data and financial reporting.
Present findings to non‑technical audiences in a clear and actionable format.
Perform other duties as assigned.
Requirements Education
Bachelor’s degree in Healthcare Administration, Business, Finance, Data Analytics, or a related field required.
Experience – Required
Minimum of 3–5 years of hospital revenue cycle experience.
Formal, hands‑on project management experience leading cross‑functional initiatives, building project plans, managing timelines, facilitating groups, etc.
Strong understanding of hospital billing, coding concepts, payer rules, and reimbursement methodologies (DRG, APC, OPPS, ASC).
Experience – Preferred
Experience with Meditech Expanse, FinThrive, Experian/Passport, or similar HIS platforms.
Skills & Competencies
Advanced Excel skills required; SQL, Power BI, or Tableau strongly preferred.
Proven ability to manage complex projects with multiple stakeholders.
Strong analytical, critical‑thinking, and problem‑solving skills.
Excellent written and verbal communication abilities.
Ability to handle multiple priorities in a fast‑paced environment.
High attention to detail and commitment to data accuracy.
Performance Expectations
Produce accurate, timely analytical deliverables.
Successfully lead projects to completion within scope and timeline.
Maintain strong internal partnerships and communication.
Demonstrate initiative, problem‑solving, and continuous improvement.
Adhere to compliance, HIPAA, and organizational standards.
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, marital status, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by federal, state, or local law. Our company values diversity and inclusion, and we encourage all qualified applicants to apply for job openings.
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Information Technology
Hospitals and Health Care
#J-18808-Ljbffr