Revenue Cycle Analyst I

TRC is seeking a Revenue Cycle Analyst I to support our client, a non-profit community health system dedicated to improving the health and well-being of individuals across Northeast Georgia.

Direct Hire Opportunity!

Location: Gainesville

Hours: Hybrid 2x a month -One-month onsite training.

Minimum Job Qualifications

• Licensure or other certifications:
• Educational Requirements: Associate degree. In lieu of degree, will consider individuals with extensive IT or Operations experience.
• Minimum Experience: A minimum of five (5) years of IT application or related operational experience required. Experience with professional billing, claims and charging is required. Operational experience in Revenue Cycle, Claims or Coding is a plus, as well as Community Connect experience, CPC coding and/or go-live implementation knowledge.

Essential Tasks and Responsibilities

• Works collaboratively with system users, technical staff, other ITS groups and vendor support resources in problem solving related to customer group systems.
• Coordinates aspects of planning, design, development, training, implementation, communication, maintenance and evaluation of existing or new functionality within the various revenue cycle applications.
• Conducts and collaborates the efforts in researching, planning, installing, configuring, troubleshooting, maintaining and upgrading of operating systems and application software/hardware, developing knowledge regarding support of assigned systems.
• Participates in development and execution of standardized methodology for testing major system functions before system changes/upgrades are moved to production environment.
• Creates and maintains up-to-date training material related to supported system as appropriate or works with system educator to do so. Participates in Training classes when appropriate.
• Reviews and collaborates on user requests for changes, enhancements, additions, etc. to ensure feasibility, quality and appropriateness for the system involved.
• Contributes to the organization financially through identification and implementation of cost-effective practices and budget management activities. Assists leadership team in capital and operational budget planning of ITS software, hardware and maintenance costs.
• Participates in the process of planning new systems/ processes or re-engineering, working collaboratively across the organization and multiple departments to support revenue cycle practice and systems.
• Serves as the ITS Liaison support to assigned departments, working with system analysts and department leaders, facilitating a strong partnership between Information Technology and the user community to facilitate ITS support and response to system issues and needs.
• Participates in department and NGHS teams, committees, projects and initiatives as appropriate to support achievement of department and organizational goals.
• Facilitates reporting of information from source systems using the most appropriate tools.
• Maintains professional skills and stays informed of changes in the healthcare industry/ regulations and vendor technology and their likely effect on assigned systems. Adheres to policies, procedures, and standards to meet all regulatory requirements such as HIPAA, as well as currently accepted legal standards.
• Coordinates and participates in requirements gathering techniques using interviews, document analysis, workshops, surveys, site visits, revenue cycle process descriptions, use cases, scenarios, revenue cycle analysis, tasks and workflow analysis.
• Participates in development and maintenance of a quality improvement program for clinical information systems proactively supporting efforts that ensure delivery of safe patient care and services. Monitors, reports and collaborates with various departments to identify areas for improvement and works with staff and physicians to optimize the usage of clinical systems.
• Provides on call support to end users and the ITS department and serves as resource to other team members in areas of expertise.