Revenue Cycle Systems Analyst - HB Claims

Carle Health•Champaign, IL

About The Position

The Revenue Cycle Systems Analyst implements, modifies, tests, and administers revenue cycle application modules and systems. The role serves as a liaison among vendors, IT personnel, application analysts, management, and end users to resolve questions about system functionality and design. It assesses end-user needs, recommends and documents procedural or system changes, and develops standard and customized application reports. The analyst performs analysis, documentation, testing, and final review to support job and system efficiency, including team and integrated testing of billing systems and their interfaces. The role also helps users develop time-saving processes and use new features. The position supports Epic revenue cycle modules, the Claims Manager System, and other billing-related systems, interfaces, and processes. It provides end-user support, investigates and facilitates resolution of reported issues, supports application updates and user maintenance, and participates in unit and integrated testing. The analyst may create programming logic using third-party software, develop reports and training reference materials, and support billing-related files and systems outside the revenue cycle. The role supports 24/7 environments and participates in on-call coverage, including early morning and evening hours.

Requirements

Associate degree in a related field, computer science, finance, or accounting.
Revenue cycle work experience.
Obtain Epic certification within two months.

Responsibilities

Develop, test, and maintain Epic revenue cycle modules and applications, the Claims Manager System, and other billing-related systems, interfaces, and processes.
Identify system requirements in core revenue cycle areas and serve as a resource on billing-system module functionality.
Develop plans for small projects and perform comparative analyses of system design against user requirements.
Help maintain system parameter and reference tables, including ICD codes, payor plans, providers, and procedures, and maintain enhancement logs.
Serve as a first point of contact for end users reporting information-system performance issues across revenue cycle areas; research, document, and facilitate resolution of issues.
Share responsibility for ongoing support of revenue software applications.
Create ad hoc reports and application report templates for multiple purposes.
Review, research, test, and facilitate system updates; maintain users across multiple systems and coordinate or participate in unit and integrated application testing.
Assist with developing and testing third-party systems outside the revenue cycle, particularly billing charge files and master files.
Research and use third-party software to create programming logic that supports operational processes.
Maintain general knowledge of CPT, ICD codes, HCPCS, and HIPAA Transaction Code Sets.
Draft reference materials and assist with training-course documentation to prepare staff to use systems effectively.
Provide support for 24/7 environments and participate in on-call responsibilities, including early morning and evening hours.
Adhere to and enforce Carle Foundation administrative and departmental policies and procedures.