Job Summary
The Revenue Cycle Systems Analyst is a primary role in the support of configuration, maintenance and optimization of the EHR/EMR platforms supporting Revenue Cycle operation and optimization for Summit Regional Medical Center. The Revenue Cycle Systems Analyst combines technical expertise with financial and operation knowledge to maximize revenue accuracy and compliance. This role supports the organization in all Revenue Cycle related functions, scheduling, registration, eligibility, medical necessity checking, revenue generation, billing, collection, etc. It includes support of all users, application testing and troubleshooting, addressing user issues and business/regulatory operating practices defined by the organization, or working through identification of software issues (software updates, etc.) with EMR/EHR Support organization.
Essential Functions
- Serve as a subject matter expert for revenue cycle systems and functions, including Sunrise or similar platforms.
- Analyze and troubleshoot business processes or system issues against the EMR, affecting Revenue Cycle functions and making recommendations for improvement based on discoveries from quality and function, and industry trends.
- Maintain system configurations, manage master files, and update revenue-related workflows to ensure compliance with CMS, payer policies, and internal controls.
- Utilizes specialized / system specific computer application knowledge, or resources to problem solve and implement solutions ensuring seamless Revenue Cycle integration and data integrity.
- Participate in new system implementations, upgrades, and interfacing projects, including testing, training and validation.
- Assist in identifying workflow enhancements, writing instructions manuals and implement training requirements for systems applications to increase efficiency and productivity.
- Collaborates with internal or external clients to identify analytical and workflow needs.
- Works with Department Directors, Leads and End Users to gather specifications for vendors to facilitate business objectives or pathways to increase operating efficiency or to adapt programs to meet new requirements.
- Reviews data for integrity and accuracy; audits and ensures data integrity of information entered into the information systems.
- Assists in benchmarking processes by gathering and pulling related data as needed.
- Shares knowledge and experience regarding Summit Healthcare specific applications with appropriate staff.
- Manage and prioritize outstanding support issues.
- Maintain and utilize Helpdesk Software according to department guidelines.
- Maintains and protects confidentiality in all aspects regarding patient care and employee information.
- Understands and complies with security / access Information Management