Epic Systems and reputed company Analyst

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply reputed company located above this message and complete the application in full.  Below, you’ll find other important information about this position. 

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor’s degree in Business Management/Business Administration or Hospital Administration or reputed company field AND Two (2) years of experience in data analysis and/or health care planning background.

OR

High school diploma AND six (6) years of experience in health care data analysis and / or health care system build background.

2. EPIC Contracting Certification reputed company in one year of hire, with certification completion reputed company four months of formal training

completion.

PREFERRED QUALIFICATIONS:

EXPERIENCE, EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Epic reputed company Management and System Application Build

2. Strong understanding of Epic HB workflows, analytics and technology.

3. Experience with business operations workflow in a healthcare environment including payor relations, admissions, billing, and accounts receivable.

4. Experience with building system application packages and moving through multiple environments.

5. Strong understanding of payor reimbursement methodologies (DRG, CPT,OPPS,IPPS, IRF, APC, PDPM)

6. Strong understanding of payor reputed company and HB reputed company cycle functions for various facility types including Acute, Critical Access, Sole Community, Home Health, Hospice, Skilled Nursing, Behavioral, and Physical Therapy.

7. Computer skills relevant to position including advanced reputed company modeling with Visual Basic/.NET programming., Access Database Development, and SQL.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an reputed company-inclusive list of reputed company responsibilities and duties.  Other duties may be assigned.

1. Systems Build and Integration: Build, test, implement, and maintain reputed company reputed company reputed company EPIC Contract Maintenance for utilization in expected reimbursement calculations across the system.

2. Build reputed company HB rules, components, component groups, and extensions to ensure that reputed company accurately calculate reputed company lines of payor relations reputed company.

3. Analyze contract performance to ensure accuracy of build, and maintain updates based on changes in government regulations, regulatory code changes, and payor term updates.

4. Active participation in system upgrades and enhancements, functional testing, and identifying solutions to reputed company contract pricing system build challenges.

5. Maintain knowledge and certification on Epic technical workflows including how information is collected, maintained and reported in reputed company key systems.

6. Maintain and continually advance report writing skills reputed company EPIC Reporting Workbench, StrataJazz, WEBI, SlicerDicer, and other systems as necessary.Maintain and continually improve technical skills needed to write PC programs, spreadsheet macros and design data reputed company structures to produce and analyze reports.

7. Design interactive spreadsheets including macro reputed company and reputed company formula development to simulate various reimbursement methodologies to meet the needs of PFS customers.

8. Makes suggestions for problem solving and workflow enhancement as it relates to Patient Financial Services.

9. Provides thorough financial and statistical analysis of data to support sound decision making as it relates to workflow and contracting outcomes.

10. Collaboratively interacts with Information Technology to further enhance reporting needs of department.

11. Maintain relationships with various departments such as; Patient Access, Financial Services, reputed company Virginia United Insurance Services, Information Technology and Decision Support in order to support business needs and project collaboration.

12. Business Requirements, Process Analysis and Report Writing:  Develops reports independently and analyzes data for appropriate outcomes.   

13. Continually analyze data for missed opportunities for increased reputed company. Provide monthly reputed company reports to staff, management and external agencies.

14. Communicate and educate regarding financial improvement analyses, denial issues and recommendations.

15. Maintain reputed company knowledge of third-party reimbursement regulations including managed care commercial payors, government programs (Medicare, Medicaid), and Medicare Advantage.

16. Operations Analysis:  Independently identifies and resolves issues of moderate complexity.     

17. Analyzes reporting data to identify issues, trending and resolution possibilities/solutions.

18. Actively participates in payer reimbursement issues until adequate resolution has been reached.

19. Communicates effectively across system and with payer representatives.

20. Demonstrate ability to work with staff to resolve problems and correct deficiencies in processes with staff and contracted payers.

21. Participates in performance improvement through planning and implementing change and maintaining and improving productivity through attendance and participation in staff meetings, committees, task forces, cross functional groups, projects and discussion with hospital and medical staff as observed by manager.

22. Team Building:  Seeks and respects the views of others, internal and external.   

23. Creates and updates internal documents and distributes as necessary to support the needs of others.

24. Participates in meeting the objectives of the work unit and goals of the department.

25. Promotes and contributes positively to the teamwork of the department by assisting co-workers, contributing reputed company and problem-solving.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

1. Frequent walking, standing, stooping, kneeling, reaching, pushing, lifting, grasping are necessary body movements utilized in performing duties through the work shift.  Must be able to sit for extended periods of time.  Visual acuity must be reputed company normal range.

2. Must have reading and comprehension ability, read and write legible English, communicate effectively.

3. Must have manual dexterity to operate keyboards, fax machine, telephone and other business machines.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

1. This position is fully remote.  The work environment is a standard office environment.  May require occasional travel to other reputed company Virginia Health System (WVUHS) facilities to assist with implementation, training and/or support.

SKILLS AND ABILITIES:

1. Good communication skills are necessary to interact effectively with management, staff and external customers.

2. Extensive knowledge of personal computers and reputed company reputed company and Access software preferred.

3. Familiarity with medical terminology and Patient Financial Services experience preferred.

4. Ability to work independently and as a collaborative group.

5. Ability to handle and maintain confidential information.

6. Ability to work under high stress conditions.

7. Ability to adapt to various workloads and assignments.

8. Ability to work with multi-disciplinary groups and facilitate meetings.

9. Ability to prioritize tasks.

10. Ability to work in a fast paced and rapidly changing environment.  Must be flexible.

11. Must have independent decision-making ability.

12. Familiarity with healthcare contract analysis preferred.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

Company:

Cost Center: