Revenue Cycle Quality & Performance Management Analyst

Remote, USA Full-time
Job Description The Epic Edit Counsel Analyst will be responsible for monitoring, analyzing, and facilitate resolving Epic encounter and claim edits to support accurate billing, clean claims, and timely reimbursement. This role partners closely with Revenue Cycle, Coding, HIM, and clinical departments to troubleshoot/optimize as needed. Analyzes, identifies and recommends and delivers plans and training materials throughout implementation and helps ensure smooth operations post-implementation. Serves as an operations consultant for Revenue Cycle Business Operations implementation and maintenance. Liaises between various project teams. Job Responsibility • Analyzes, implements, and maintains revenue cycle activities across sites and ensures goal setting and tracking. Makes recommendations for development and analysis of implementation plans for System development and implementation of Revenue Cycle Business Operations which may include discovery, design, conversion, testing, and/or any other components of the project plan cycle. • Serves as a liaison between business and technology teams. • Participates in developing and delivering training programs for current and prospective users. Educates practice, site and corporate management on Revenue Cycle Business Operations policies and procedures. • Assists implementation team in configuring HIPAA rules based on System policies and legal requirements. • Ensures processes are compliant with system policies, applicable laws and contractual bargaining agreements. • Develops procedures for system audits. Resolves discrepancies, as required. • Collaborates with implementation teams to resolve user issues. • Consults with departments to provide customer support during and post- implementation. • Troubleshoots issues and resolves concerns as well as recommends necessary fixes. Advises management of results and recommends actions. Consults with newly acquired facilities and designs transition and implementation plans. • Performs related duties as required. • Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action. • Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Preferred Skills/Experience: • Hands-on Epic experience • Strong problem-solving skills • A passion for improving workflows that directly impact financial performance and data integrity. Job Qualification • Bachelor's Degree required, or equivalent combination of education and related experience. • 1-3 years of relevant experience, required. • This position will be fully remote from 8am-4pm/9am-5pmMonday-Friday. • Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Apply tot his job
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