Epic Resolute Professional Billing Systems Analyst- 40hrs

Job Description

Demonstrates proficiency in understanding computer systems, applications and interfaces. Demonstrates proficiency in data gathering techniques and the ability to devise, design and communicate systems solutions to client issues and problems of medium complexity. Demonstrates an intermediate understanding of the CT Children's business functions. May require specialized knowledge in a specific application / computer system. Creates detailed work-related specifications, system design documentation, procedures, process and data flows, and project and change management plans. Communicates effectively with clients and colleagues. Demonstrates proficient degree of analytical skills. Supports multiple concurrent work efforts, educates and coaches other team members, and works with minimal supervision in support of team initiatives.

Possesses and demonstrates a working knowledge of professional billing related workflows, including provider billing, coding and claims, charge modifiers and charge router. Oversees and maintains the overall integrity of the Epic Resolute Professional Billing module to support operational workflows.

We welcome applications from qualified applicants residing in the following states : Alabama, Alaska, Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Louisiana, Massachusetts, Mississippi, Missouri, New York, North Carolina, Ohio, Oklahoma, South Carolina, South Dakota, Texas, Utah, Virginia, Wyoming.

Responsibilities

Job Duties

The responsibilities of a Systems Analyst encompass identical responsibilities as an Associate Systems Analyst, but with a greater degree of complexity. A Systems Analyst also :

• Employs proficient analytical skills to define systems information requirements and objectives for system application and interface maintenance or application enhancement requests and communicates to clients and programmers.
• Identifies data element conversion needs in existing applications.
• Prepares written documentation of the need for application changes or replacements, and coordinates staff and manages project plans for their implementation.
• Drafts project scope plans, project plans, and issue logs; monitors and reports status of project plans to Lead IS staff and / or manager.
• Prepares formal change implementation plans and monitors their implementation. Educate and coach other team members and work with minimal supervision in support of team members.
• Provides technical expertise in the supported application. Works with application stakeholders to improve the effective utilization of the application.
• May provide agreed levels of system administration and configuration.
• Reports project issues and staff performance issues to Principal / Supervisor.
• Participates in, develops, implements, documents and validates comprehensive test plans complying with current standards, designed to produce successful and failed outcomes.
• Functions as a liaison to the system users and stakeholders to translate business requirements into technical requirements, data flows and process flows.
• Educates analysts and programmers on business requirements, objectives and operational needs and the relevant system applications.
• Participates in the system selection process, including needs assessment, RFP and vendor selection.

May be required to travel to / from and work in the various CCMC locations, including patient care areas. May be required to travel for mandatory certifications. May be required to represent IT and / or present to various Hospital Clinical and / or Operations Committees. Understand and comply with all enterprise and IS departmental information security policies, procedures and standards.

Support the integration of information security in the development, design, and implementation of Hospital

Technology Resources that process, transmit, or store CT Children's information. Support all compliance activities related to state, federal regulatory requirements, healthcare accreditation standards, and all other applicable regulations that govern the use and disclosure of patient, financial, or other confidential information

Responsible for the implementation, maintenance, and optimization of the Epic modules and third-party integrations that support the operational workflows of the Professional Billing and other Revenue Cycle Departments. Serves as a liaison between the Revenue Cycle departments and Information Solutions.

Qualifications

Education Required : High School Diploma, GED, or a higher level of education that would require the completion of high school, is required.

Education Preferred : BA / BS Degree in Computer Science, Information Systems, Business, or other related Health Care field, is strongly preferred.

Experience Preferred : Two to five years relevant experience within a healthcare environment highly desired or equivalent demonstrated knowledge and capability preferred.

One to three years Information Systems Analyst experience highly desired. Proficient in Microsoft Office products (Word, Excel, PowerPoint, Visio, Outlook, etc.). Knowledge of project development life cycle preferred

Minimum of 1 year of experience with Professional Billing workflows preferred.

License and / or Certification

Required :

Epic Certification or Proficiency in Resolute Professional Billing.

Preferred :

For Epic applications teams, at least one relevant Epic certification is required as outlined in the Epic certification policy. Additional Epic certifications may be required (Chronicles, SQL, etc) in order to support higher complexity projects or issues. For non-Epic applications, a relevant certification is desired, if available.

Experience with provider credentialing workflows and billing-related SER record requirements.

Knowledge, Skills, and Abilities

Knowledge of :

Project development life cycle methodologies desired. A demonstrated knowledge of cross application / system workflow and data relationships is required. Web-based technologies, processes, and analytics. Employing software quality assurance and testing concepts, techniques, industry best practices, tools and standards.

Ability to :

Employ software quality assurance and testing concepts, techniques, industry best practices, tools and

standards.

About Us

Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.

At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team.