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Revenue Cycle Systems Analyst - Flagstaff, United States - Northern Arizona Health
Description
Job Description
Job DescriptionOverview
The Revenue Cycle Systems Analyst is a hybrid position that is responsible for the creation, maintenance and development of all systems, applications and processes within the Revenue Cycle arena. This is a technical position, however, roughly 40% of the job entails workflow shadowing and process improvement efforts that enhance the efficiency of the department.
*May include CDM system management and maintenance; inclusive of the ensuring the Charge Description Master (CDM) is in compliance with hospital coding procedure, departmental processes, and payer regulations; reporting directly to the Chief Revenue Officer.
Responsibilities
Data Integrity
* Serves as a SME and Trainer for super users on revenue cycle applications.
Demonstrates the ability to troubleshoot and resolve all revenue cycle applications/tools.
Completes all workflows, interfaces, uses and maintenance for revenue cycle applications.
Identifies opportunities for optimization.
Serves as a SME for the revenue cycle.
Communication
* Communicates to all levels of the organization regarding application issues.
Processes and addresses concerns/issues as it relates to technical or workflow gaps in the revenue cycle.
Project Management
* Demonstrates the ability to manage and complete assigned tasks and projects.
Collaborates with team members to complete projects and tasks.
CDM Management
* Maintains knowledge of updates and annual maintenance by AMA standards.
Maintains knowledge of Medicare Ambulatory Payment Classifications (APC) and the Outpatient Prospective Payment System (OPPS).
Identifies and manages the compliance of charge capture & appropriate CPT assignment under OPPS.
Collaborates and provides quarterly reports to clinical departmental leaders (nursing, ancillary clinical support staff, etc).
Attends monthly meetings with the Chief Revenue Officer to review data for those departments that are on the quarterly schedule for each month.
Responsible for the organizational CDM(s).
Develops a pricing workflow for departments.
Follows up with departments regarding job/project expectations and completion.
Creates a competitive pricing process with finance following established pricing protocol.
Responsible for the annual maintenance of the CDM.
Responsible for the business and technology relationship with CDM technology partner(s), including an related applications.
Compliance/Safety
* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.
Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.
If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.
Completes all company mandatory modules and required job-specific training in the specified time frame.
Possesses and constantly develops the knowledge and changes to HCPCS and CPT codes.
Qualifications
Education
High School Diploma or GED- Required
Bachelor's Degree in Computer Science or related field- Preferred
Certification & Licensures
ITIL, Cisco, Cerner certifications- Preferred
Experience
Minimum 2 years experience working in a healthcare IT capacity- Required
Experience working on projects and understanding of the sequence of events that occur prior to completion- Required
1-3 years of showcasing strong technical documentation skills- Required
1-3 years of presenting problems and recommending solutions- Required
Technical troubleshooting experience within a healthcare or clinical setting where the importance of eliminating downtimes are key- Required
Cerner experience- Preferred
Revenue Cycle experience- Preferred
