What are the responsibilities and job description for the Sr. Revenue Cycle Architect Network position at WMCHealth?
Job Summary : The Senior Revenue Cycle Architect will collaborate with multi-disciplinary teams to continuously analyze and enhance EMR workflows, aiming to improve operational efficiency across the WMCHealth Network.
Responsibilities :
- Promote revenue cycle improvements across the network by collaborating with Revenue Integrity, Health Information Management, Patient Accounts, and Patient Access.
- Perform and report ongoing trend analysis to ensure daily and monthly consistency in charge capture.
- Communicate across revenue cycle teams to maintain transparency regarding system changes and new build implementation.
- Lead charge services initiatives, including training, design, and testing of new services lines and / or charge builds.
- Develop and implement tiering logic within CS Tier Maintenance to serve the needs of all facilities for both professional and technical charge capture.
- Establish and / or validate charge build within the CS Pricing Tool to assure build accurately generates charges based on tier, charge schedule, and activity type.
- Troubleshoot and recover any potential missed revenue due to incorrect build or documentation errors.
- Work closely with Patient Accounting for resubmitting claims for corrected charges and / or upon suspended charge resolution.
- Evaluate current workflows for process improvement opportunities to maximize charge capture and ensure timely and accurate claims submission.
- Conduct meetings with clinical and revenue cycle teams to facilitate troubleshooting processes and improve inefficiencies.
- Serve as a revenue cycle representative on core project teams regarding implementation, upgrade, and optimization of network EMR systems.
- Provide status reports to revenue cycle leadership regarding ongoing projects.
- Collaborate with IT on routine revenue cycle build and maintenance.
- Perform troubleshooting audits through backend queries.
- Perform other duties as assigned.
Qualifications / Requirements :
Experience :
Education : Bachelor's Degree.
About Us :
NorthEast Provider Solutions Inc.
Benefits :
We offer a comprehensive compensation and benefits package that includes :
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