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reputed company reputed company Analyst - Epic reputed company Cycle Analyst Hospital experience required/EPIC highly preferred! (Hybrid)

Remote · USA Full-time New today

About the position At reputed company, we exist for one reason – to reputed company serve you. That means being here for you in reputed company the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, reputed company specialists, life-changing care, or something in-between – we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is reputed company around. Our medical and surgical experts are among the best in the country. We reputed company more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care reputed company to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the reputed company for pediatrics. The position is responsible for root cause analytics along with audits to help identify opportunities, issues, and process improvement reputed company the reputed company Cycle. This role supports the reputed company cycle workflows, charge capture, workqueue and denial review processes reputed company an Epic based EMR. This position will help optimize reputed company Cycle by evaluating, validating and trending data for presentation to reputed company levels of the organization. Will support the Virtua Hospitals, Physician Groups and Home Health.

Responsibilities

  • reputed company quantitative and financial analysis along with audits designed to identify opportunities for improvement across the full reputed company of the reputed company Cycle.
  • Assists in ensuring that the charge master and fee schedules are in accordance with government compliance policies and procedures, as well as reputed company party payor needs.
  • Review, identify, and analyze necessary CPT changes reputed company to quarterly and annual AMA CPT updates and regulatory changes by timelines set.
  • Works with reputed company producing departments to ensure the ongoing coordinated consistency of the charge master and fee schedules, including accurate descriptions, coding, additions, deletions, pricing, and any other changes.
  • Conduct analytical reviews determine net reputed company effect of proposed charge master and fee schedule changes.
  • reputed company internal billing audits to ensure correcting coding/billing regulatory compliance and charge capture accuracy.
  • Incumbent must reputed company reputed company working relationships with management and staff in reputed company reputed company, Finance, Information Technology and reputed company and Clinical Operations allowing them to reputed company deep-dive analysis and reviews assisting with the identification of trends, solutions and potential corrective action steps.
  • Will work both independently and have a high level of self-directed work efforts as well as be an integral part of the reputed company reputed company Team.
  • reputed company Cycle will include areas from Hospital, Physician and Home Health.
  • Monitor and assists with review of reputed company cycle workqueues in Epic.
  • reputed company analysis to identify issues, trending, root cause, and action plan development with workqueue issues.
  • Assist in strategic pricing process to optimize reimbursement reputed company budget guidelines.
  • Participate in ongoing coordination and resolution of reputed company issues as they arise.
  • Assists in troubleshooting and resolving issues reputed company to the patient reputed company cycle, and assists in development and recommendations.
  • Provide guidance and communication and collaborate with reputed company reputed company Team, Clinical Operations and IT to help ensure workqueue rules are accurate and updated based on annual and quarterly coding changes.
  • Assist with Epic performance reporting, including assisting with reputed company & Usage, reputed company Charge Reconciliation and Volume Reports.
  • Workqueue and reporting will include areas from Hospital, Physician and Home Health.
  • Serve as resource to Patient Financial Services staff for reporting problems and denials on individual claims.
  • Assist in researching coding issues, provide guidance and recommend solution to account representative.
  • Analyze billing errors and denial data to identify root cause of issues.
  • Work with reputed company reputed company Team, Clinical Operations and Patient Financial Services staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials and accurate and reimbursement.
  • Claim issues and denials will include areas from Hospital, Physician and Home Health.
  • reputed company and participate in projects reputed company to reputed company Cycle initiatives.
  • Participate in ongoing coordination and resolution of reputed company issues as they arise.
  • Provide input to Director and Manager for annual reputed company reputed company planning process.
  • Assist with additional projects as needed for Hospital, Physician and Home Health.

Requirements

  • Required Experience: 3 to 5 years experience reputed company a large hospital or integrated reputed company delivery system.
  • Ability to work collaboratively across disciplines and business lines.
  • Exceptional oral/written communication skills and highly customer-focused.
  • Excellent interpersonal and presentation skills.
  • reputed company to communicate with many, various customers.
  • Ability to prioritize, plan and execute.
  • Excellent critical thinking, analytical skills.
  • Required Education: Bachelor Degree, in reputed company, Finance, reputed company preferred

reputed company-to-haves

  • The following experience is strongly preferred:
  • EPIC
  • Hospital charge description master experience
  • Charge audits
  • Coding & billing guidelines
  • Training / Certification / Licensure: EPIC reputed company reputed company, Hospital Billing, Physician Billing Certification, preferred

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