Job ID: NC-750877 (913090102)
Remote EHR Epic Rev Cycle Analyst (Certified must) with Billing, HB, Claims, PB, Long-Term Care, workflow, data modeling, clinical/regulatory requirements experience
Location: Raleigh, NC (NCDHHS)
Duration: 12 Months
Position: 1(2)
ONLY CANDIDATES WITH CURRENT EPIC ANALYST CERTIFICATIONS FOR ALL REQUIRED MODULES WILL BE CONSIDERED.
Skills:
Certified by Epic in Resolute Hospital Billing, HB & Claims, Professions Billing, PB & Claims; & Long-Term Care Billing Required
Epic implementation or operations support experience Required 8 Years
Health IT experience Required 8 Years
Ability to set up and test paper and electronic claims and electronic remittance. Required 5 Years
Understanding of upstream and downstream data sources for claims to be able to investigate the root causes of claims errors. Required 8 Years
Thorough knowledge of assigned data and the use of its systems via developing through test plans/scenarios Required 8 Years
Familiarity with health plan concepts and workflows Required 5 Years
Working knowledge in application development and system integration Required 8 Years
Skilled in enterprise systems and familiarity with best business practices related to systems Required 8 Years
Familiarity with legal requirements and operational policies related to patient and family privacy practices Required 5 Years
Working knowledge of security protocols for systems utilized Required 8 Years
Experience in the entire development process including specification, workflow analysis, workflow diagrams, data modeling, documentation, and quality Required 8 Years
Coordinate and direct computer systems and application design and development Required 5 Years
Experience in assessing user needs through discussion with customer Required 8 Years
Able to convey technical information to client and promote understanding of relevant issues Required 8 Years
Software quality assurance/testing experience Required 8 Years
Strong understanding of the core functions and processes of the billing office Required
Understanding of the billing office’s integration with other departments in the organization Required
Solid comprehension of revenue cycle management Required
Knowledge of the unique clinical and regulatory requirements for skilled nursing care settings and how these interact with typical billing workflows Required
Epic Implementation experience with at least 1 full life cycle project Required
Description:
Seeking a Technical Specialist who is an Epic-certified to build the following modules for the new DSOHF EHR: Resolute Hospital Billing Claims and Resolute Professional Billing Claims.
The Technical Specialist will perform Epic Application Coordinator/Analyst functions to build the following Epic modules: Resolute Hospital Billing Claims and Resolute Professional Billing Claims. The Technical Specialist will serve as the primary build and support contact for the assigned Epic modules. This position is responsible for coordinating all issues that arise during the project for their application and must become very knowledgeable about the organization’s policies, procedures, and business operations.
Key Responsibilities
• Serve as the primary support contact for the application’s end-users
• Work in developing, designing, configuring, scripting, testing, and/or supporting applications for the business, research, and/or instructional functions of clients.
• Develop solutions using programming expertise for day-to-day problems to include maintenance, modification, or development of complex inter-related applications/solutions.
• Evaluate hardware availability and software requirements
• Identify issues that arise in the application and working to resolve them
• Guide workflow design, build and test the system, and analyze other technical issues associated with Epic software
• Identify and implement requested changes to the system
• Serve as a liaison between end users’ workflow needs and Epic implementation staff
• Maintain regular communication with Epic representatives, including participating in weekly project team meetings
• Develop an understanding of operational needs to set the direction for the organization’s workflows by attending site visits and other integrated sessions
• Review the status of projects and issues on an ongoing basis with leadership
• Hold weekly communications with team members to discuss the status of deliverables, shared issues, end-user concerns, budget, and upcoming milestones