Revenue Cycle Informatics Analyst Job at Presbyterian Healthcare Services
Overview:
Summary:
The Revenue Cycle Informatics Analyst will provide business system user support to the PHS Enterprise specific to Revenue Cycle initiatives. Formulates and defines workflow, scope and objectives based on both business needs, and an understanding of business systems and regulatory requirements; Includes analysis of business needs, documentation of requirements, and translation into proper system requirement specifications. Assist in the implementation of business applications for specific systems and Revenue Cycle workflows. Investigate and provide review and findings for best practices of new application functions and understanding of user requirements and workflows. Qualifications:
Other information:
Bachelors degree in a relevant field such as, but not limited to, Business and or Health Administration, Nursing or other Clinically oriented position. 6 yrs of additional experience can be substituted in lieu of degree.
Plus 4 years of practical experience in a healthcare organizations revenue cycle is required. Critical thinking and extreme attention to detail required. Nationally recognized coding credential, i.e. CPC-H, CPC-P,
CCS, CCS-P, RHIT preferred. Clinical experience or nurse auditor a plus. Experience in ICD-9, ICDC-10, CPT-4, and HCPCS coding strongly preferred. Fundamental understanding of hospital Chargemaster
Responsibilities:
Responsibilities:
Benefits:
We offer more than the standard benefits!
Learn more about our employee benefits:
https://www.phs.org/careers/employee-benefits/Pages/default.aspx
Why work at Presbyterian?
Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.
About Presbyterian Healthcare Services
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
About Our Regional Delivery System
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
About New Mexico
Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.
New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. Offer Disclaimer: The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs. Compensation decisions are dependent upon the facts and circumstances of each offer. Minimum Offer: USD $27.11/Hr. Maximum Offer: USD $41.39/Hr.
Summary:
The Revenue Cycle Informatics Analyst will provide business system user support to the PHS Enterprise specific to Revenue Cycle initiatives. Formulates and defines workflow, scope and objectives based on both business needs, and an understanding of business systems and regulatory requirements; Includes analysis of business needs, documentation of requirements, and translation into proper system requirement specifications. Assist in the implementation of business applications for specific systems and Revenue Cycle workflows. Investigate and provide review and findings for best practices of new application functions and understanding of user requirements and workflows.
Other information:
Bachelors degree in a relevant field such as, but not limited to, Business and or Health Administration, Nursing or other Clinically oriented position. 6 yrs of additional experience can be substituted in lieu of degree.
Plus 4 years of practical experience in a healthcare organizations revenue cycle is required. Critical thinking and extreme attention to detail required. Nationally recognized coding credential, i.e. CPC-H, CPC-P,
CCS, CCS-P, RHIT preferred. Clinical experience or nurse auditor a plus. Experience in ICD-9, ICDC-10, CPT-4, and HCPCS coding strongly preferred. Fundamental understanding of hospital Chargemaster
Responsibilities:
Responsibilities:
- Works with user community to define business requirements in sufficient detail that systems configuration, development/enhancement, and/or operations activities can be pursued.
- Coaches user community in coordination with Instructional Designers the proper and effective use of the application system.
- Supports all applications in use by the Revenue Cycle with an expert knowledge in at least one of the applications that they support.
- Acts as primary liaison between the application team and the user community, responsible for facilitating communications, coordinating system requests and regulatory updates.
- Reviews and monitors ongoing Billing and Claims issues and collaborates with other team experts as appropriate.
- Oversees internal quality assurance efforts to verify functional system behavior.
- Uses operational knowledge to create specifications for workflow changes and new functionality as appropriate.
- Maintain complete documentation to ensure requirements have been met, and results are accurate and reproducible
We offer more than the standard benefits!
Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!
Learn more about our employee benefits:
https://www.phs.org/careers/employee-benefits/Pages/default.aspx
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.
Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.
About Presbyterian Healthcare Services
Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
About Our Regional Delivery System
Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
About New Mexico
New Mexico continues to grow steadily in population and features a low cost-of living.
Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.
New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
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