revenue integrity analyst

Norton Healthcare

<div>Responsibilities:
<div>
The Sr. Revenue Integrity Pharmacy Analyst is responsible for expert review of pharmacy related charge audits, denials, quarterly HCPCS updates, and value analysis. They will review and analyze pharmacy claims, collaborating with pharmacy IS, Billing and Managed Care to ensure compliance with billing regulations while maximizing reimbursement. Additionally they provide support and education to Pharmacy and Revenue Cycle teams on coding and documentation requirements. Strong attention to detail with extensive knowledge in Pharmacy billing, coding, payor policies, federal regulations and reimbursement methodologies are essential for this role.</div><div></div><div> 
**This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina**</div>
Qualifications:
<div>
Required:</div><ul><li>
Three years of experience in healthcare revenue cycle, clinic operations or pharmacy technician</li><li>
One of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT</li></ul><div>
Desired:</div><ul><li>
One year of pharmacy experience</li></ul></div>

Senior Revenue Integrity Pharmacy Analyst, Revenue Integrity/Coding Administration, Days, Fully Remote

Keck Medicine of USC

<div>As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various entities of Keck Medical Center of USC and monitors the alignment of the various entities to the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization of data between the CDM residing in the billing system and CDM management tools . The Senior RI Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date. The Senior RI Specialist delivers direction to the documentation of all policies and procedures regarding CDM Maintenance and charge process; and conducts meetings to evaluate department charge processes to improve charge capture and coding compliance. The Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement. The Senior RI Specialist works closely with revenue auditors and provides leadership by providing direction to the revenue auditor team to all entities of Keck Medical Center of USC in the research and resolution of requests in a timely manner; and aid in the training and skill development of auditors to maximize available tools for Chargemaster and billing compliance.
Essential Duties:
<ul><li>Performs maintenance to the Keck Medical Center of USC Charge Description Master (Keck &amp; Norris) ensuring all annual updates required by Medicare and other third-party payers are up to date. Assists the Revenue Cycle in annual coding review and processing of updates.
</li><li>Reviews and process requests for new code additions, code set corrections, revenue code to CPT/HCPCS code mismatch corrections and on-going identified changes for current systems to maintain compliance with both state and federal regulatory agencies.
</li><li>Leads and conducts meetings with Operations Leaders, Revenue Auditors, Clinical Department Staff, and Gatekeepers to address issues involving compliance with government regulations, third party payor needs and industry standards.
</li><li>Acts a subject matter expert for projects that impact revenue integrity and CDM. Subject matter expert to meet and/or communicate with various stakeholders for projects that impacts revenue integrity and the CDM.
</li><li>Takes the lead and exercises significant judgement and discretion on projects that have a broad, organizational impact.
</li><li>Coordinates and provides leadership to Revenue/Chart Audit team associated with research and resolution of account issues related to the CDM, charge capture, and other issues considered to be revenue integrity.
</li><li>Synchronizes CDM data between CDM and CDM Workflow &amp; Management Tool for Keck Medical Center of USC entities on a monthly basis.
</li><li>Imports/extracts data from various sources and in various formats as needed to review, monitor, track, and maintain the integrity of the CDM and associate charge flow process.
</li><li>Provides CDM data as necessary based on identified issues in form of ad-hoc reports.
</li><li>Provides guidance and education to ensure that CDM&rsquo;s and Charge Capture as needed of exist and newly acquired entities (i.e. Verdugo Hills) follow the standards and policies of Keck Medical Center of USC.
</li><li>Performs charge reconciliation activities, industry best practice research, and identifies and deploys charge capture improvement initiatives.
</li><li>Interprets and explains on details of charge services provided as needed.
</li><li>Participates collaboratively with Revenue Cycle and Ancillary team in the development, execution, and follow-up of education programs for USC Administration, Managers and Staff on all issues related to the charge master, charge capture, and new applications related processes.
</li><li>Participates in the development of policies and procedures, monitoring tools for late charges and establishment of procedures for timely and accurate charge capture mechanisms.
</li><li>Enhances professional growth and development
</li><li>Actively participates in team development, contributes to dashboards, and in accomplishing team, departmental, and organizational goals and objectives.
</li><li>Performs other duties as assigned.
</li></ul>Required Qualifications:
<ul><li>Req Associate&rsquo;s Degree Business Administration, Accounting, Finance, Healthcare Administration, Nursing, or similar/related field.
</li><li>Req Specialized/technical training Certification from an accredited program of Certified Coder (CPC/CCS/COC) or Certificate of Auditing (CPMA) within one year from date of hire.
</li></ul><ul><li>Req 5 years Experience in healthcare field required. Related experience may include a combination of clinical service delivery (nursing or allied health), coding, provider billing, medical records, charge audit environment, CDM maintenance, Medicare/Medicaid reimbursement, managed care contractual arrangements, and patient accounting.
</li><li>Req Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology.
</li></ul><ul><li>Req Knowledge of other government and third-party payer reimbursement methodology required.
</li><li>Req Must be able to implement a systematic, self-motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute plan
</li><li>Req Proficient skills and knowledge in MS Office/ Windows
</li></ul>Preferred Qualifications:
<ul><li>Pref Bachelor&rsquo;s Degree Business Administration, Accounting, Finance, Healthcare Administration, Nursing, or similar/related field.
</li><li>Pref Experience and knowledge of Hospital charging practices.
</li><li>Pref Healthcare operations experience, particularly in an acute care hospital setting.
</li><li>Pref Current knowledge of the Revenue cycle, specifically the flow of charges in and across hospital billing systems.
</li><li>Pref Previous hospital Chargemaster experience, including the use of CDM Maintenance software (Craneware or Med Assets).
</li><li>Pref Working knowledge of CPT, HCPCs and ICD9 coding principles.
</li><li>Pref Skills and knowledge on the following software: Cerner and Craneware
</li><li>Pref Registered Nurse - RN (CA Board of Registered Nursing)
</li><li>Pref Pharmacy Technician (CA DCA)
</li></ul>Required Licenses/Certifications:
<ul><li>Req Specialty Certification Certified Coder (CCS or CPC), Certified Outpatient Coder-COC (AAPC) or Certified Auditor (CPMA) obtained within one (1) year of date of hire.
</li><li>Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)
</li></ul>The annual base salary range for this position is $95,680.00 - $158,230.00. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate&rsquo;s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. 
USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.
We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at (213) 821-8100, or by email at uschr@usc.edu . Inquiries will be treated as confidential to the extent permitted by law.
<ul><li>Notice of Non-discrimination
</li><li>Employment Equity
</li><li>Read USC&rsquo;s Clery Act Annual Security Report
</li><li>USC is a smoke-free environment
</li>Digital Accessibility 
<li>
</li></ul>If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser:
https://wd5.myworkday.com/usc/d/inst/1$9925/9925$144704.htmld</div>

Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)

Parallon

<div>Introduction
This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Billing Integrity Analyst Credentialed today with Parallon.
Benefits
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
<ul><li>Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance.</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more</li><li>
Consumer discounts through Abenity and Consumer Discounts</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships)</li><li>
Colleague recognition program</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Come join our team as a Billing Integrity Analyst Credentialed. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!
Job Summary and Qualifications
The Billing Integrity Analyst (credentialed) is responsible for determining the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPTs, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification of billing data for accuracy and completeness, following regulatory requirements, in order to resolve edits or exceptions detected during system processing of the claim in Patient Accounting, Relay Health or the payer. Applies modifiers when appropriate based on this review, and/or makes necessary adjustments to patient account charges and/or balances. Analyzes accounts for specialized billing requirements that require a review of the medical record documentation, regulatory information, and HCA standards. Combines or splits accounts as appropriate. Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding charging issues, clinical documentation issues and revenue opportunities. Provides charge review results and develops and coordinates educational in-services for facility staff related to charging/billing issues. Coordinates retrospective, concurrent, patient requested, and external billing audits. Reviews denial trends for documentation and charging opportunities. Serves as a primary contact for charge related SSC and facility inquiries and issues.
In this role you will:
<ul><li>Analyze and resolve specific billing edits that require HCPCS/CPT coding based on the chargemaster expertise and that are delaying claims from processing in the Patient Accounting and/or Relay Health systems. This includes the verification (and/or correction) of billing data for accuracy and completeness, by following regulatory requirements, and reviewing the medical record, facility protocol, and other applicable documentation. This also includes the application of modifiers and condition codes, as appropriate.</li><li>
Identify charging, chargemaster coding, or clinical documentation issues and work with appropriate leadership and ancillary departments to resolve issues that are identified while working on edits.</li><li>
Serve as charge master liaison to facilitate clinical department education on appropriate charging of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues. Coordinates updates (activate, inactivate, modification) with Ancillary Departments as necessary</li><li>
Review Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD). Assess impact to Billing Integrity procedures and implement changes as needed.</li><li>
Maintain billing education, attend webcasts and conference calls as required.</li></ul>
Qualifications:
<ul><li>Associate Degree or above; or healthcare license/certification required.</li><li>
Minimum 1 year directly related Healthcare experience or coding experience required.</li><li>
Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred.</li><li>
Healthcare certification/licensure such as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted lieu of degree with work experience.</li></ul>
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. 
 
 
&quot;The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Billing Integrity Analyst Credentialed opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Billing Integrity Analyst Credentialed

<div><h5 class="jobSectionHeader">Introduction</h5>
This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Do you want to join an organization that invests in you as a Billing Integrity Analyst RN? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.<h5 class="jobSectionHeader">
Benefits</h5>
Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing 
</li><li>
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) 
</li><li>
Employee Stock Purchase Plan with 10% off HCA Healthcare stock 
</li><li>
Family support through fertility and family building benefits with Progyny and adoption assistance. 
</li><li>
Referral services for child, elder and pet care, home and auto repair, event planning and more 
</li><li>
Consumer discounts through Abenity and Consumer Discounts 
</li><li>
Retirement readiness, rollover assistance services and preferred banking partnerships 
</li><li>
Education assistance (tuition, student loan, certification support, dependent scholarships) 
</li><li>
Colleague recognition program 
</li><li>
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) 
</li><li>
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location. 
You contribute to our success. Every role has an impact on our patients&rsquo; lives and you have the opportunity to make a difference. We are looking for a dedicated Billing Integrity Analyst RN like you to be a part of our team.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
The Billing Integrity Analyst Register Nurse (RN) is responsible for determining the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPTs, by reviewing the medical record, facility protocol, and other applicable documentation. This review includes the verification of billing data for accuracy and completeness, following regulatory requirements, in order to resolve edits or exceptions detected during system processing of the claim in Patient Accounting, Relay Health or the payer. Applies modifiers when appropriate based on this review, and/or makes necessary adjustments to patient account charges and/or balances. Analyzes accounts for specialized billing requirements that require a review of the medical record documentation, regulatory information, and HCA standards. Uses clinical expertise when applicable to perform charge reviews and/or works on edits that are deemed appropriate for only an RN to be qualified to review and resolve. Combines or splits accounts as appropriate. Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding charging issues, clinical documentation issues and revenue opportunities. Provides charge review results and develops and coordinates educational in-services for facility staff related to charging/billing issues. Coordinates retrospective, concurrent, patient requested, and external billing audits. Reviews denial trends for documentation and charging opportunities. Serves as a primary contact for charge related SSC and facility inquiries and issues.
In this role you will:<ul><li>
Analyze and resolve specific billing edits that require an RNs clinical expertise and that are delaying claims from processing in the Patient Accounting and/or Relay Health systems. This includes the verification (and/or correction) of billing data for accuracy and completeness, by following regulatory requirements, and reviewing the medical record, facility protocol, and other applicable documentation. This also includes the application of modifiers and condition codes, as appropriate.
</li><li>Identify charging, coding, or clinical documentation issues and work with appropriate leadership and ancillary departments to resolve issues.
</li><li>Perform charge audits reviews by verifying billing data as compared to documentation and making corrections in Patient Accounting as needed.
</li><li>Analyze charge review findings, provide recommendations to facility ancillary department directors in order to improve documentation, charging flow, and accuracy.</li><li>
Serve as chargemaster liaison to facilitate clinical department education on appropriate charging of CPT codes, Revenue Codes, and communicating with Ancillary Departments to resolve issues. Coordinates updates (activate, inactivate, modification) with Ancillary Departments as necessary
</li><li>Performs assigned charge reviews (governmental, corporate, insurance defense, patient requested, collections, denials, focused review, SPAEs, cosmetics, etc.) by researching documentation, analyzing information, entering all corrections as needed and communicating error trends to provide process improvement opportunities.
</li><li>Review Regulatory and Compliance Communications, applicable CMS transmittals, and Local Coverage Decisions (LCD). Assess impact to Billing Integrity procedures and implement changes as needed. Perform NCD LCD Coverage review when requested.
</li><li>Participate in customer service events at the facility such as facility FECC Committee, new director onboarding, charge education and report charging issues as appropriate.</li></ul>
Qualifications:<ul><li>
RN or other advanced nursing degree required</li><li>
Active Registered Nurse License or other advanced nursing license required. Compact license for all states accepted.</li><li>
Healthcare experience in an acute care hospital or coding experience preferred. Knowledge of CPT/HCPCS codes or experience in charging or performing charge reviews</li></ul>
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
&quot; 
&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Billing Integrity Analyst RN opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Billing Integrity Analyst RN

UofL Hospital

Job Overview We are seeking a dynamic and detail-oriented Revenue Cycle Analyst to join our team and drive excellence in financial performance and operational efficiency. In this pivotal role, you will analyze revenue cycle processes, identify opportunities for improvement, and develop actionable insights that enhance revenue integrity. Your expertise will empower our organization to optimize billing, collections, and financial reporting, ensuring sustainable growth and operational success. This position offers an exciting opportunity to leverage advanced analytics tools and business intelligence platforms to shape strategic decision-making.Responsibilities<ul><li>Conduct comprehensive data analysis using SQL, Tableau, Power BI, and other analytics tools to monitor revenue cycle performance and identify trends or anomalies.</li><li>Develop and maintain dashboards and reports in Salesforce, Visio, and other platforms to visualize key financial metrics for stakeholders across departments.</li><li>Collaborate with cross-functional teams to streamline billing, coding, collections, and accounts receivable processes through process improvement initiatives.</li><li>Utilize business analysis skills to evaluate current workflows, recommend enhancements, and implement best practices that maximize efficiency.</li><li>Support forecasting activities by analyzing historical data and creating predictive models to project future revenue streams.</li><li>Lead projects related to process automation and system integration to improve data accuracy and reduce cycle times.</li><li>Provide training and support on analytics tools and business intelligence platforms to team members involved in revenue cycle management.</li></ul>Experience<ul><li>Proven experience in revenue cycle analysis within healthcare, finance, or related industries with a focus on billing or collections.</li><li>Strong proficiency in SQL for data extraction and manipulation; experience with Tableau or Power BI for data visualization is essential.</li><li>Demonstrated ability to conduct detailed business analysis using Visio for process mapping and Salesforce for CRM insights.</li><li>Familiarity with data analysis techniques, analytics methodologies, and business intelligence tools to inform strategic decisions.</li><li>Experience managing projects related to process improvement or system upgrades within a fast-paced environment.</li><li>Excellent analysis skills with the ability to interpret complex datasets into clear insights for diverse audiences.</li><li>Knowledge of sales forecasting principles and experience applying them within revenue cycle operations is a plus. Join us as a Revenue Cycle Analyst if you're passionate about transforming data into strategic assets that drive financial success! Bring your analytical mindset, technical expertise, and proactive approach to help us optimize our revenue processes while advancing your career in a vibrant, innovative environment.</li></ul>Pay: $68,062.83 - $82,903.63 per yearWork Location: Remote

Revenue Cycle Analyst

Compleat Kidz

Board Certified Behavior Analyst (Remote) - Contract Part-Time: Our remote BCBA's have the flexibility to choose their own schedule. Case loads will be assigned based on your availability. The Behavior Analyst is responsible for developing treatment plans, coordinating care for their clients as well as for RBT's and behavioral assistants. The Behavior Analyst will also be responsible for implementing outreach services for assigned clients. Job Responsibilities: <ul><li>Develop &amp; monitor individualized treatment plans and behavior support plans with RBT's</li><li>Provide support, instruction, and feedback to families and caregivers with regard to managing challenging behaviors and teaching replacement behaviors through the principles of ABA with the ABA Team and our LSW. Conduct initial assessments, reassessments, and write progress reports online. Complete clinical assessments to guide the development of programming based on Applied Behavior Analysis.</li><li>Develop and regularly update comprehensive ABA programs for clients based on the completion of assessments and analysis of data in a timely manner.</li><li>Complete Functional Behavior Assessments and Behavior Intervention Plans for assigned clients under the guidance of a licensed professional in accordance with North Carolina law.</li><li>Provide clinical direction on the implementation of ABA programs to multidisciplinary teams, including guiding others to understand the purpose of the interventions, how to address the function of behaviors and their validation in the literature, etc.</li><li>Oversee implementation and ensure procedural integrity and proficiency of behavior plans and programming as implemented by direct care team members through remote consultation and review of data.</li><li>Provide training to staff and families on Applied Behavior Analysis with client specific goals for skill acquisition and behavior reduction.</li><li>Attend clinical supervision and staff meetings to review consumer programs (goals, graphs, data collection, up-to date consultation notes, etc.) and organizational initiatives. Develop quality assurance for sound billing and administrative practices.</li><li>Market the ABA program along with the senior BCBA and other BCBAs.</li><li>Aide in developing and monitoring revenue metrics for the ABA programs' growth.</li></ul>Position Requirements: <ul><li>A minimum of one year as a Behavior Analyst with valid certification.</li><li>Must possess the disposition and personality to work harmoniously with a wide variety of people and all levels of staff and interact professionally as a member of a multi-disciplinary team.</li><li>Must possess a strong commitment to the goals, mission, and philosophy of the organization.</li><li>Ability to work flexible hours as required, to meet, identified patient needs.</li><li>Absolute integrity and the use of good judgment to handle the professional and confidential nature of assignments.</li><li>Ability to adapt to changing organizational needs.</li><li>Speaks, writes, reads, and comprehends English. Fluency in another language is a plus.</li><li>Excellent communication skills are comprised of written, verbal and presentation capabilities.</li><li>Additional skills may include the ability to actively listen, use logic to identify strengths, weaknesses and solutions.</li><li>Must be a motivated individual and self-starter.</li><li>Excellent organizational skills and time management skills are a must.</li></ul>Education Requirements: <ul><li>Master's or Doctoral degree in Behavioral Analysis or Special Education or another Human Services Discipline with an emphasis in Behavioral Analysis.</li><li>Certification from the Behavior Analyst Certification Board Inc. (required), or State issued license to practice Applied Behavior Analysis.</li></ul>Job Type: Part-Time-Contract Compensation: $70- Parent Training $60- Supervision $60-Assessment $50- Non-Billable Benefits: Employee Assistance Program (EAP) Compleat KiDZ is an Equal Employment Opportunity Employer that values and encourages diversity

Board Certified Behavior Analyst BCBA - Contract Part-Time (Remote)

Council Capital

<div>Council Capital is a healthcare-focused private equity firm based in Nashville, Tennessee, managing over $350 million in committed capital.
We invest in lower middle market healthcare companies where we see the potential to scale purpose and performance. Our investments span control and minority positions in businesses with enterprise values between $10 million and $100 million.
What sets us apart is the Council Model&mdash;a proven framework that surrounds founders and leadership teams with a powerful combination of support: our CEO Council of seasoned operators, our Strategic Healthcare Investors who bring real-world insight and access, and our internal Value Creation Team, focused on enabling growth through talent, systems, and strategy.
At Council Capital, we&rsquo;re not just backing companies&mdash;we&rsquo;re helping build enduring businesses that improve lives and shape the future of healthcare.
About Alivia Analytics
Alivia Analytics is a rapidly growing healthcare technology company supporting commercial and government payers in the fraud, waste, and abuse (FWA) space. Our AI-driven platform, Alivia 360, delivers payment integrity and financial outcomes across the healthcare ecosystem. As a standalone SaaS company backed by private equity, we operate in a fast-paced, metrics-driven environment that requires strong financial discipline, scalable processes, and exceptional execution.
The Controller will play a central role in ensuring the company is audit-ready, cash-flow positive, and operationally excellent through this transition and beyond.
Position Overview
The Controller is a key financial leader responsible for owning all accounting operations, ensuring accuracy, compliance, and operational excellence across multiple revenue models (SaaS, professional services, contingency-based recovery). This individual will manage the month-end close, lead the external audit, and deliver timely, actionable financial reporting to support strategic decision-making by PE sponsors and the executive team.
This is a hands-on role. The ideal candidate thrives in a lean environment, builds before they hire, automates before they add headcount, and treats every close cycle and reporting package as a reflection of the function they are building. We recently implemented NetSuite (November 2025) and are actively adding advanced features, making this an ideal opportunity for someone who wants to shape a modern accounting infrastructure from the ground up.
Key Responsibilities
Financial Operations and Close Management<ul><li>
Own the month-end close process with a target of WD5 completion (current state: 10-12 days), with a long-term vision of a 2-day close</li><li>
Oversee general ledger management, account reconciliations, journal entries, and financial controls</li><li>
Manage payroll, accounts payable, accounts receivable, and cash management activities</li><li>
Ensure accurate and timely invoicing across SaaS, professional services/consulting, and contingency-based recovery services</li><li>
Leverage NetSuite to streamline reconciliations, journal entries, approvals, and reporting</li></ul>
Financial Reporting and Analysis<ul><li>
Deliver monthly financial reporting packages and loan reporting packets by WD10 (current state: ~WD20)</li><li>
Build and maintain NetSuite dashboards, saved searches, and reporting tools to enhance visibility</li><li>
Shift reporting focus from data delivery to analysis and actionable insight</li><li>
Support budgeting, forecasting, and financial modeling activities in partnership with the Sr. Financial Analyst</li><li>
Build and maintain a comprehensive cash flow tracking and forecasting model across all contracts and customers</li></ul>
Revenue Recognition and Technical Accounting<ul><li>
Lead revenue recognition across all revenue streams:<ul><li>
SaaS subscription revenue (ASC 606)</li><li>
Professional services / consulting</li><li>
Contingency-based recovery services</li></ul></li><li>
Document and maintain accounting policies, controls, and procedures for each revenue stream, including lease accounting for new locations and unique deal structures</li><li>
Become primary point of contact for technical accounting &amp; 3rd party management</li><li>
Ensure proper NetSuite configuration and documentation to support ASC 606 compliance</li></ul>
Audit and Compliance<ul><li>
Serve as the primary point of contact for external auditors</li><li>
Deliver a clean annual audit by May 1 with zero material weaknesses</li><li>
Maintain strong internal controls, documentation, and system permissions</li><li>
Ensure compliance with all financial, regulatory, and contractual requirements</li></ul>
Leadership and Team Development<ul><li>
Manage and mentor the Senior Accountant and two part-time contractors</li><li>
Elevate the Senior Accountant to work at the top of their license by shifting administrative tasks to contractors</li><li>
Establish clear roles, responsibilities, and performance expectations within first 90 days</li><li>
Build a culture of accountability, accuracy, and continuous improvement</li></ul>
Process Improvement and Scalability<ul><li>
Identify and implement automation opportunities within NetSuite (workflows, approvals, reconciliations, reporting, statistical accounts for bookings/ARR)</li><li>
Lead implementation of NetSuite forecasting and budgeting modules</li><li>
Leverage AI and automation tools to modernize the accounting function</li><li>
Support system improvements and integrations as the business grows</li></ul>
Cross-Functional Partnership<ul><li>
Partner with the Sr. Financial Analyst on revenue data for forecasting and budgeting alignment</li><li>
Maintain active, collaborative relationships with external tax advisors and auditors</li><li>
Engage regularly with internal department leaders to provide financial guidance and strengthen operational decision-making</li><li>
Support PE sponsor reporting requirements, covenant compliance, and board-level financial communication</li></ul>
Qualifications
Required<ul><li>
CPA required</li><li>
Bachelor's degree in Accounting or Finance</li><li>
7+ years of progressive accounting experience, with at least 3+ years in senior accounting roles (controller, director of accounting, or equivalent scope)</li><li>
Strong, hands-on NetSuite experience (GL, revenue, reporting, workflow optimization). Other large ERPs acceptable with strong justification.</li><li>
Deep knowledge of GAAP, ASC 606, and multi-stream revenue environments (SaaS, services, contingency)</li><li>
Demonstrated success managing audits and building internal controls</li><li>
Ability to commute to Newtown Square, PA for hybrid schedule (2-3 days/week in office)</li></ul>
Strongly Preferred<ul><li>
Experience in a standalone company backed by Private Equity (board reporting, covenant compliance, investor cadence)</li><li>
Experience in healthcare, payment integrity, or technology-enabled services</li><li>
Track record of automating manual accounting processes in a scaling environment</li><li>
FP&amp;A fluency and ability to build cash flow forecasting and operational models</li><li>
Experience supporting M&amp;A diligence or continuation vehicle processes</li><li>
Familiarity with ADP, Bill.com, DocuSign, and Carta</li></ul>
Why Alivia Analytics<ul><li>
High-growth healthcare SaaS platform with clear product-market fit in the payment integrity space</li><li>
PE-backed</li><li>
Opportunity to build and own the accounting function from the ground up with a recently implemented NetSuite platform</li><li>
Strong, mission-driven leadership team with deep domain expertise</li><li>
Lean environment where your work directly impacts company trajectory and investor outcomes</li><li>
Collaborative team with talented colleagues across accounting and FP&amp;A</li></ul>
Council Capital and our portfolio companies are committed to building high-performing teams by hiring the best talent&mdash;period.
We believe in putting the right people in the right seats, regardless of background, and we&rsquo;re always looking for individuals who bring fresh thinking, grit, and a drive to make a difference.
Thank you for considering a role with one of our companies. We&rsquo;re excited to learn more about you.
Compensation Range: $150K - $180K</div>

Controller - Private Equity SaaS Healthcare

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