Revenue Cycle Policy & Quality Analyst

At UK King's Daughters, we’re not just a healthcare facility — we’re a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We’re more than just a place to work; we’re a place to grow, thrive, and contribute to our community.

Job Description:

Job Summary

Responsible for analyzing and monitoring revenue cycle policies and quality standards to ensure compliance, efficiency, and accuracy. Provides expertise in policy review, quality audits, and process reporting to support operational effectiveness. Ensures alignment of revenue cycle activities with regulatory requirements, payer contracts, and organizational policies. Develops audit findings and recommendations to strengthen performance and compliance. Coordinates collaboration with revenue cycle leaders and compliance teams to address risks and optimize workflows.

Essential Functions

• Reviews and analyzes revenue cycle policies, procedures, and workflows to ensure compliance with organizational and regulatory standards.

• Conducts quality audits of billing, claims, and payment processes to identify errors, risks, and improvement opportunities.

• Tracks and reports policy compliance metrics, presenting findings to leadership with recommendations.

• Collaborates with compliance, internal audit, and revenue cycle leadership to address gaps in processes and documentation.

• Develops, maintains, and distributes policies and guidelines to support consistent revenue cycle practices.

• Monitors payer requirements, regulatory updates, and industry trends to update policies and procedures.

• Participates in process improvement initiatives to enhance billing accuracy, reduce denials, and improve patient financial outcomes.

• Performs other duties as assigned.

Education Requirement: Bachelor’s degree

Experience Requirement: 2+ years of experience

An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures: N/A

Working Conditions

A. Lifting, pushing, and/or pulling objects up to 50lbs:2. Occasional (< 10% of the time)

B. Lifting, pushing, and/or pulling objects over 50lbs:1. Never

C. Standing or walking with objects up to 10lbs:3. Intermittent (10% - 50% of the time)

D. Standing or walking with objects up to 25lbs:2. Occasional (< 10% of the time)

E. Sitting at the computer workstation for extended periods:3. Intermittent (10% - 50% of the time)

F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials:2. Occasional (< 10% of the time)

G. Repetitive motion:3. Intermittent (10% - 50% of the time)

H. Working at heights above 4 feet:1. Never

I. Working in confined spaces:1. Never

J. Risk of injuries from use of equipment on the job:2. Occasional (< 10% of the time)

K. Job-related travel:2. Occasional (< 10% of the time)

L. Loud noises:1. Never

M. Temperature extremes:1. Never

N. Hazardous chemicals and fumes including waste:2. Occasional (< 10% of the time)

O. Radiation:1. Never

P. Burns:1. Never

Q. Cuts/Punctures:2. Occasional (< 10% of the time)

R. Bloodborne/airborne pathogens:2. Occasional (< 10% of the time)

S. Recombinant DNA or viral vectors:1. Never

T. Combative/violent people:1. Never

U. Animal handling (including carcasses):1. Never

V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

Physical Demands

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds.

Department:

Patient Accounting

Shift:

Days (United States of America)

Time Type:

Full time

Address:

2201 Lexington Avenue

City, State:

Ashland, Kentucky