Revenue Cycle Informatics Analyst

Location Address: 9521 San Mateo NE Albuquerque, NM 87113-2237

Compensation Pay Range Minimum Offer $60,985.60 Maximum Offer $103,812.80

Type of Opportunity: Full time | Exempt: Yes | Work Shift: Days (United States of America)

Responsibilities

• Provide business system user support to the PHS Enterprise specific to Revenue Cycle initiatives.
• Formulate and define workflow, scope and objectives based on business needs 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.
• Work with user community to define business requirements in sufficient detail that systems configuration, development/enhancement, and/or operations activities can be pursued.
• Coach user community in coordination with Instructional Designers on the proper and effective use of the application system.
• Support all applications in use by the Revenue Cycle with expert knowledge in at least one of the supported applications.
• Act as primary liaison between the application team and the user community, responsible for facilitating communications and coordinating system requests and regulatory updates.
• Review and monitor ongoing Billing and Claims issues and collaborate with other team experts as appropriate.
• Oversee internal quality assurance efforts to verify functional system behavior.
• Use 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.

Qualifications

• Bachelor’s degree in a relevant field such as Business and/or Health Administration, Nursing or other Clinically oriented position; 6 years of additional experience can substitute for the degree.
• Plus 4 years of practical experience in a healthcare organization’s 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, ICD-10, CPT-4, and HCPCS coding strongly preferred.
• Fundamental understanding of hospital Chargemaster.

Benefits

Wellness Presbyterian’s Employee Wellness rewards program is designed to provide engaging opportunities to enhance health and activate well-being. Earn gift cards and more by participating in wellness activities like challenges, webinars, preventive screenings and more.