Nursing Revenue Quality Management Analyst

Come join an exciting and innovative company that puts the care back in healthcare!

At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesnt matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work.

About Us:

What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40+ states. Couple that with over 30 years of combined experience and its no wonder why KabaFusion is the industry leader in home infusion.

Job Summary:

Make an impact where clinical care meets financial excellenceAre you passionate about home infusion nursing and driven by improving documentation quality, compliance, and reimbursement outcomes? Were looking for a Nursing Revenue Quality Management Analyst to play a critical role in strengthening revenue integrity while supporting exceptional patient care across our home infusion services. This is an opportunity for a detaildriven, analytically minded professional to help ensure nursing services are documented accurately, billed compliantly, and converted into timely revenue. In this highly collaborative role, youll work alongside nursing leadership and operational teams to remove barriers, improve efficiency, and directly support the financial health of patient care. The Nursing Revenue Quality Management Analyst supports revenue integrity within home infusion services by ensuring accurate, compliant nursing documentation and billing practices. This role collaborates with nursing leadership, pharmacy, revenue cycle, and compliance teams to identify documentation risks, support audits, and drive process improvement. The position plays a critical role in optimizing reimbursement and providing education to nursing administrative teams to maintain regulatory and accreditation standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Audit medical records and obtain required documentation to facilitate invoice creation, timely filing, and accurate monthly revenue. Effectively communicate resolution statuses for billing of nursing services and facilitate billing for other services rendered. 2. Retrieve or correct necessary documentation from medical record audit and communicate with relevant departments and enter into billing notes. 3. Collaborate with departments to obtain information for pending revenue resolution for nursing services, medication, and supplies. 4. Complies with billing audit deadlines.5. Identify trends causing delays in pending revenue and work with branch leaders to create action plans.6. Analyze metrics related to outstanding days and work with nursing leadership to improve efficiency.7. Provide education to the nursing department administrative team to enhance accuracy and compliance. 8. Perform other duties as assigned by supervisor and Nursing Executive team.

What You BringEducation Associate degree in business or related field or technical experience in lieu of degree. Experience Minimum of 2 years of experience in auditing, billing, or relevant detail-oriented administrative.

Previous relevant experience working in CPR+ and AlayaCare software to audit nursing scheduling, documentation, and billing codesRelated healthcare work experience preferred. Extensive experience with Microsoft Excel, including but not limited to Pivot Tables and Microsoft Power BI reporting required.

Skill and Competencies:

Strong computer knowledge and keyboarding skills; proficient knowledge with Excel reports and other systems reporting. Ability to work independently with high degree of accuracy and speed. Familiarity with auditing practices, office procedures and automated equipment. Good interpersonal communication skills and pleasant telephone manner Demonstrates good attention to detail to thoroughly review nursing visit notes, invoices, and related documentation for accuracy, completeness, and compliance with documentation standards and billing guidelines. Demonstrates knowledge of billing and coding to ensure proper coding and billing accuracy in nursing invoices. Demonstrates strong problem-solving abilities to investigate and resolve discrepancies, address billing errors, and collaborate with branches and contracted agencies to obtain corrected invoices.

What we offer: Competitive compensation Benefits start on your 1st day of employment 401k w 4% match no waiting or vesting period PTO / Floating Holidays / Paid Holidays Company paid life insurance, short term disabilityEmployee Assistance programs to help with mental health / wellness Learning & Development Programs Perks includes discounts on travel, cell phone, clothing and more Generous employee referral program To learn more about KabaFusion, please visit our careers page: https://www.kabafusion.com/careers/ Join us and find out why this is the place to excel and do your best work.