Epic Revenue Cycle Business Analyst (Hospital Billing) - The HCI Group
New York City, NY
About the Job
- Interview users, stakeholders, and sponsors to assess departmental needs to create business, functional and technical requirements documents
- Develop documentation of test plans, technical documentation, release notes, end-user guides, training programs and/or other materials as necessary
- Analyze and document client's business requirements and processes, communicate requirements to technical personnel by constructing basic conceptual data and process models, including process flowcharts and technical specifications
- Decompose information gathered into details including sources of data, data types, users, user types, interface components, interface navigation needs, reporting needs, and administrative system needs
- Presenting concepts in a concise and focused manner, including narrative, process diagrams, role and accountability diagrams and business-focused story boards
- Research industry practices, collect and analyze data, draw appropriate conclusions and recommendations, present results in written reports or through oral presentations using visual aids
- Coordinate user groups and project teams, convening conference calls and meetings and maintaining minutes and follow-up logs
- Work collaboratively with Systems Analyst to develop designs, mockups and prototypes
- Communicate technical design issues to non-technical people
- Ability to work independently and as part of a fast-moving team
- Ability to lead business in programs with complex projects
- Work within timeline and resource constraints provided by the Project Manager
- Provide ongoing communication with users, managers, corporate directors and vendors to assure support and current initiatives
- Experience with HL7 communications is a plus
- Experienced working in a Project Management Office (PMO) with cross-functional teams is a plus
- Performs other duties as assigned/required
- Completed multiple Go-Lives, and at least one from (near) inception to completion
- Experience with an Epic implementation at a multi-hospital system, and/or a major academic medical center
- A Baccalaureate Degree from an accredited college or university in computer science, Information systems, business administration or equivalent experience or education is required
- At least 3 years of revenue cycle healthcare systems experience
- At least 3 years of experience on commercial core revenue cycle applications
- Strong understanding of the core functions and processes of the billing office
- Experience documenting system architecture design and revenue cycle system workflow
- Excellent verbal and written communication skills and the ability to interact professionally with a diverse group, executives, managers, and subject matter experts
- Must be well organized, detail oriented, highly analytical, possess strong problem solving skills and must have a desire to be accountable for project success
- Detailed knowledge of general phases of SDLC, project management methods
- Epic - Resolute Hospital Billing Administration, Claims Administration certification required
- Epic – Charge Router, Resolute Hospital Billing Electronic Remittance, Resolute Hospital Billing Expected Reimbursement Contracts Certification preferred
- Experience with Epic integration
- Strong technical background, including an understanding of ANSI 837 and 835 formats and the ability to create and customize logical rules to prevent incorrect claims from being submitted
- Have a full understanding of the PPS and non-PPS Hospital Billing revenue cycle and the revenue cycle as it pertains to Epic
- Hospital Billing experience
Source : The HCI Group