Rcm Ba

Consultant Technical Analyst - Revenue Cycle and Claims
Job Summary:

- Works with stakeholders to discover, clarify, and document current and
future data needs
- Performs mapping of revenue cycle, clinical and claims data to a
normalized data model.
such as Registration, Scheduling, Accounting and Billing, Cost
Accounting and Claims
- Builds data concepts to support Revenue Cycle and Claims use cases
- Serves as a key resource for an assigned customer area to understand
and explain business and technical issues and to provide viable
technology solutions.

**Responsibilities**:
testing and validation of the mapping of data elements to standards

- Collaborates with technical resources to perform root cause analysis

and complete remediation of data quality issues

- Works with customers to clarify and plan for their current and future

technology needs. Determines and maps existing business
processes/functions and recommends changes required to fit a tightly
integrated system.

- Designs and implements projects requiring systems integration, small

teams and multiple technical platforms.

- Conducts Return on Investment (ROI) and other financial analysis to

support project funding/prioritization.

- Collaborates on driving improvement activities to achieve department

and organizational goals.

- Coordinates with functional team to assure consistency and

optimization of overall work product

- Assumes a proactive role in driving improvement activities to achieve

department and organizational goals to deliver value.

- Maintains current knowledge of industry and business process trends

and requirements in support of functional area process design, testing
and implementation

- Identifies opportunities for process improvement and makes

recommendations that lead to improvements

- Monitors task assignments to ensure they are performed on schedule,

within intended scope and to a defined level of quality.

- Escalates process and project issues that cannot be resolved

**Experience**:

- Prior experience working as a Revenue Cycle analyst in the Healthcare

system.

- Must have a working knowledge of relational databases/database

structures, SQL expertise desired

- Must have a strong understanding of data collected and used in EMRs,

Revenue Cycle and Patient Accounting Systems.

- Knowledge and experience with ambulatory and acute clinical, billing

and claims workflows and clinical information systems.

- Bachelor or Masters degree in related health or finance field ex

informatics or bioinformatics.

- Complexity of work: Within the scope of job, requires critical thinking

skills, decisive judgment and the ability to work with mínimal
supervision. Must be able to work in a stressful environment.

- 5 years of experience preferred