Informaticist - Revenue Cycle

SUMMARY:

Assesses, plans, implements, and optimizes revenue cycle healthcare information systems according to policies, procedures, protocols, and standards.  Responsible for system assessment, workflow charting, process analysis, and identifying and implementing information system solutions. Possess a solid understanding of healthcare IT systems, particularly those related to revenue cycle management.

:

Analyzes tasks/systems/problems, determine possible solutions, and design, implement and evaluate most effective solution; participates in aspects of planning, design, development, testing and implementation of revenue cycle information systems with strong attention to detail.

Works effectively with all levels within the organization; acts as a liaison with staff to assess their needs and provide information and support as needed; maintains a positive and open attitude to change with an ability to adapt to new situations.

Sets priorities and utilizes problem-solving techniques with minimal direction and appropriate collaboration.

Excellent communication skills are required to effectively collaborate with all levels of healthcare personnel.

Maintains comprehensive revenue cycle testing plans to verify outputs and system integrity.

Takes part in the change control process, which manages all changes to the revenue cycle information systems.

Uses workflow process modeling to assess the need for and/or use of information systems to support and enhance revenue cycle practice.

Has a strong desire to enhance revenue cycle practice with technology.

Maintains current knowledge of health care and revenue cycle issues, organizational policies and procedures, information/revenue cycle software trends.

Ensures that new or modified revenue cycle information systems maintain patient confidentiality and privacy in accordance with HIPAA, TJC, and other regulatory agencies.

Adheres to Standards of Work (SOW).

Adheres to TMC organizational and department-specific safety, confidentiality, values, policies, and standards.

Participates in on call support and customer rounding activities.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION:  Bachelor's degree or an equivalent combination of relevant education and experience

:  Four (4) years of revenue cycle or business system analyst or operational experience with enterprise applications.  EPIC application experience preferred. 

LICENSURE OR CERTIFICATION:  Certification in revenue cycle informatics highly preferred.

KNOWLEDGE, SKILLS, AND ABILITIES: 

·       Knowledge of revenue cycle functions and workflow.

·       Skill in evaluating systems and making recommendations for efficiency or listening to users and recommending modifications to allow computer systems to perform as needed.

·       Ability to read, analyze, and interpret general revenue cycle periodicals, professional journals, technical procedures, or governmental regulations.

·       Ability to write reports, correspondence, and document workflows.

·       Ability to effectively present information and respond to inquiries from staff.

·       Ability to calculate figures and compute rate, ratio, and percent and to draw and interpret bar graphs; ability to apply basic algebraic concepts.

·       Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

·       Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

·       Skilled at problem definition and data collection by establishing fact and drawing valid conclusions.

·       Skilled at persuading revenue cycle staff to adopt new workflows and tools using change management principles.

·       Broad knowledge of hospital operations and associate technologies.

·       Strong knowledge of systems analysis, workflow planning, gathering business requirements and transforming them into functional specifications.

·       Knowledge of current IT security standards, applicable privacy laws, TJC, DHS, State & Federal accreditation standards, etc.