- Provides revenue cycle support and education to end users for charge capture functionality workflow, documentation, and appropriate CPT, ICD-10 selection.
- Coordinates and manages information system projects identified as high priority by the management team. Projects can include feasibility studies for new systems, implementation of new systems, and major enhancements to existing systems. Tasks include coordinating with IS the systems analysis, project planning, design, testing, rollout, education, and training.
- Assists in the development, implementation, and documentation of new charge capture EHR system functionality.
- Understands clinical operational workflows in relationship to technical build to identify inconsistencies or improvement opportunities that could impact reimbursement, revenue integrity, and/or reduce denials.
- Translates workflow issues to technical solutions that support revenue cycle integrity, CDI, and back end processes.
- Reviews EHR charge information, claim data, and insurance correspondence to determine and manage break-fix issues in charge capture workflows.
- Develops provider learning and training material.
- Serves a primary support contact for application issues regarding charge capture.
- Serves as a primary point of contact for provider support related to change capture functionality.
- Seeks to establish collaborative relationships with physician leaders, clinical providers, IS, Corporate Compliance, Revenue Cycle, and administrative leadership in the support of coding education and documentation adequacy.
- Analyzes billing trends and identify areas of charge capture workflow improvement Assists in the development of corrective action plans and participates in compliance investigations as needed.
- Translates revenue cycle issues into technical solutions.
- Manages special projects individually or in collaboration with other departments.
- Consistently promotes ideas for improving charge capture process and relationships with clinical departments.
- Tracks documentation improvements to measure ROI, organizational growth and support of CPI initiatives.
- Performs job functions adhering to service principles with customer service focus on I-Care values.
- Bachelor's degree required.
- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) required.
- At least three years of experience in physician revenue cycle coding, education, and or training required.
- Demonstrated ability to perform system analysis, apply system analysis skills to workflow assessment, and to solve computer system problems.
- Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines.
- Strong understanding of EMR systems and analyzing patient records to identify non-conformances in CPT charge capture, ICD-10-CM and HCPCS codes.
- Strong communication and organizational skills.
- Proficient in the Microsoft Office Suite.
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Sr Business Analyst - Chicago, United States - Rush Oak Park Hospital
Description
Location: Chicago, IL
Hospital: RUSH University Medical Center
Department: PB Revenue Integrity
Work Type: Full Time (Total FTE between 0.9 and 1.0)
Shift:
Shift 1
Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 AM)
Summary:
This position is responsible for providing support and training to clinicians and revenue cycle employees for charge capture functionality, coding, and EHR documentation.
The Senior Business Analyst will work collaboratively with revenue cycle partners, information systems, and healthcare providers to improve charge capture workflows and support revenue cycle integrity while seeking and identifying areas of improvement.
Creates learning materials, manuals, and standard operating procedures for training and distribution. This role serves as a liaison between IT, Coding, and end users. Exemplifies the Rush mission, vision and ICARE values and acts in accordance with Rush policies and procedures.Responsibilities:
Other information:
Required Job Qualifications:
We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
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