Clinical Systems Analyst II (BAR) Revenue Cycle

Episcopal Health Services•Far Rockaway, NY

About The Position

Episcopal Health Services is seeking a Clinical Systems Analyst II focused on the MEDITECH Revenue Cycle. The role leads configuration, dictionary maintenance, system build, testing, optimization, and ongoing maintenance of MEDITECH Revenue Cycle applications, including Admissions/Registration, Patient Accounting, Billing and Accounts Receivable, HIM, and Abstracting. The analyst monitors performance, resolves technical issues, and performs upgrades and patches. The position analyzes end-to-end revenue cycle workflows to identify bottlenecks and charge leakage, and implements improvements in MEDITECH. It works with Patient Accounting and Billing teams to investigate denial trends and improve claim rules, scrubbers, and dictionary settings. The analyst also develops reporting and analytics using MEDITECH Report Designer, NPR, Data Repository, SQL, or visualization tools, and ensures application rules support applicable billing regulations and annual CPT/HCPCS updates. The analyst collaborates with Finance, IT, Clinical Operations, vendors, clearinghouses, department management, and end-users. Duties include requirements and stakeholder communication, test planning and execution, implementation support and user training, post-implementation reviews, troubleshooting, documentation, ticket management, and participation in the IT on-call rotation. The role also contributes to project planning, scheduling, risk management, and stakeholder status reporting.

Requirements

  • Bachelor's degree in Healthcare Administration, Health Information Technology, Finance, Computer Science, or a related field, or an equivalent combination of education and experience.
  • At least 7 years of experience in healthcare revenue cycle operations or health systems IT, including at least 5 years focused on MEDITECH Revenue Cycle modules.
  • Deep expertise in MEDITECH Expanse and 6.x Revenue Cycle applications, including BAR, ADM, Abstracting, and CDM.
  • Proficiency with MEDITECH Report Designer, NPR/SQL querying, and advanced Microsoft Excel functions.
  • Strong knowledge of electronic claim formats 837I, 837P, and 835, and remittance processing.
  • In-depth understanding of hospital billing workflows, medical terminology, ICD-10/CPT coding structures, UB-04/CMS-1500 requirements, and payer rules.
  • Excellent communication and interpersonal skills, including the ability to interact effectively with stakeholders at all levels.
  • Knowledge of project management methodologies such as Agile or Waterfall.

Responsibilities

  • Configure, build, test, optimize, and maintain MEDITECH Revenue Cycle modules, including Admissions/Registration, Patient Accounting, Billing and Accounts Receivable, HIM, and Abstracting.
  • Monitor system performance, resolve technical issues, and perform system upgrades and patches.
  • Analyze end-to-end revenue cycle workflows, identify bottlenecks and charge leakage, and implement workflow enhancements in MEDITECH.
  • Work with Patient Accounting and Billing teams to analyze denial trends and adjust claim rules, scrubbers, and dictionary settings.
  • Design and maintain reports and dashboards to track key performance indicators using MEDITECH Report Designer, NPR, Data Repository, SQL, or visualization tools.
  • Ensure MEDITECH application rules align with federal, state, and commercial billing requirements, including annual CPT/HCPCS code updates and billing modifier logic.
  • Coordinate with Finance, Information Technology, Clinical Operations, external clearinghouses, vendors, department management, and end-users.
  • Create thorough test plans; perform function and system testing; and assist with parallel and system stress testing.
  • Support implementation of systems and applications, train and guide end-users, and conduct post-implementation reviews.
  • Investigate and resolve system issues and defects, and provide ongoing user support and troubleshooting.
  • Participate in the IT on-call rotation.
  • Create and maintain system specifications, user manuals, and training materials.
  • Manage Help Desk and vendor application tickets, provide timely updates and ticket statistics, and close tickets after resolution.
  • Contribute to project planning and execution, including resource allocation, timelines, deliverables, risk assessments, and mitigation strategies.
  • Provide project updates and status reports to stakeholders.
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