Revenue Cycle Hospital Billing/Professional Billing Analyst

Shepherd Center•Atlanta, GA

About The Position

With five decades of experience, Shepherd Center provides world-class clinical care, research, and family support for people experiencing the most complex conditions, including spinal cord and brain injuries, multi-trauma, traumatic amputations, stroke, multiple sclerosis, and pain. An elite center ranked by U.S. News as one of the nation’s top hospitals for rehabilitation, Shepherd Center is also recognized as both Spinal Cord Injury and Traumatic Brain Injury Model Systems. Shepherd is the only rehabilitation facility in the nation with an intensive care unit on-site, allowing us to care for the most complex patients and begin the rehabilitation process sooner. Shepherd Center treats thousands of patients annually with unmatched expertise and unwavering compassion to help them begin again. Shepherd Center's culture is one of hope, humor, and hard work. You will enjoy career growth, strong relationships with co-workers , strong support from leadership, and fun activities that have ke pt over 1 2% of staff members working at Shepherd for more than 20 years . The Revenue Cycle Hospital Billing / Professional Billing Analyst is responsible for the design, build, testing, validation, maintenance and ongoing support of Clinical or Revenue Cycle Applications. Application Analysts work across interdisciplinary workgroups to accomplish set goals as a team. The Application Analyst is a representative of the Information Technology team and is responsible for establishing, fostering and maintaining positive business relationships with Shepherd co-workers; interdisciplinary workgroups; clinical and financial department representatives; Piedmont Healthcare and Epic partners; and all other staff who use or interact with the Epic application suite.

Requirements

Bachelor’s Degree from a four-year college or university with major course work in computer science, Information Technology, engineering, or equivalent related experience.
Epic certification applicable to specific area of assigned responsibility within the first 90 days of employment.
5 years of progressive experience in clinical, business, or other healthcare operational areas.
Working knowledge and subject matter expertise in the assigned operational department areas.
Ability to work in a fast-paced and deadline-oriented environment; perform under stressful and changing circumstances and deadlines.
Ability to analyze multiple complex situations to create and implement solutions; work effectively in a team environment; be self-motivated and self-disciplined; communicate clearly and accurately in both verbal and written mode; accurately and concisely describe problems and solutions; focus on details; coordinate and prioritize multiple projects simultaneously.
Foster and maintain a commitment to provide outstanding customer service that reflects Shepherd Center’s mission and pillars of excellence.

Nice To Haves

Epic Resolute Hospital Billing (HB) or Professional Billing (PB) certification(s)
Claims and remittance experience (highly desired)
Payer and plan setup, maintenance, configuration (highly desired)
Revenue Cycle reporting experience (highly desired)

Responsibilities

Gather and analyze operational workflows, technical requirements and functional specifications for Epic applications and modules.
Design, build, validate and maintain detailed Epic application configuration.
Populate master tables and system files in accordance with established guidelines and standards.
Collect requirements and specifications for operational reports and data extracts.
Build, modify and maintain operational reports and extracts where appropriate.
Implement approved change requests and modifications, adhering to established system change control guidelines.
Demonstrate business and application expertise during workflow design, validation sessions, integrated work sessions, and on-going system optimization.
Perform application and integrated testing using structured test scripts; document results and follow up on identified issues.
Maintain current knowledge of clinical practice or business operations, hospital policy, regulatory requirements and standards of practice within their assigned area of expertise.
Works with inter-disciplinary teams to ensure that Clinical and Revenue Cycle systems support compliance with these standards.
Review Nova Notes and participate in build, testing, optimizations, enhancements, projects and quarterly Epic Upgrades.
Ability to lead meetings, prioritize appropriately, manage issues, resolve conflicts, and provide oversight and implementation of project plan activities.
Participate proactively in issue prevention, investigation, communication, escalation and resolution.
Tier 2 On Call for afterhours user support on a rotating basis as necessary.
Develop and maintain system documentation and knowledgebase articles.
Introduce best practice options for future-state workflows and processes.
Ensures change control and change management procedures are followed.
Collaborate with Principal Trainers in the design and development of role-based training programs and educational materials.
Assist Application Training team with application training during peak demand.
Ensure on-going timely information transfer to peers and IT management regarding project status, resource needs or issues.
Remain current with trends in healthcare technology by actively seeking new information regarding systems software and hardware functionality.
Coordinates with team leads/supervisors, IT staff and other departments, clinicians, physicians to maximize use and benefit of Clinical and Revenue Cycle information systems.
Serve as contact and mentor for super users and operational owners across all departments.
Assist with Epic Security assignment, security templates and maintenance where appropriate.
Maintain current licensure or certifications where appropriate.
Practices proper safety techniques in accordance with Center and departmental policies and procedures.
Responsible for the reporting of employee/patient/visitor injuries or accidents, or other safety issues to the supervisor and in the occurrence notification system.
Monitors and ensures compliance with all regulatory requirements, organizational standards, and policies and procedures related to area of responsibility.
Identifies potential risk areas within area of responsibility and supports problem resolution process.