Revenue Cycle Informatics Analyst

Presbyterian Healthcare Services; Albuquerque (NM); On-site; USD 61,000 - 104,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Short-term disability

Long-term disability

Group term life insurance

Job summary

Presbyterian Healthcare Services is seeking a Revenue Cycle Informatics Analyst to support enterprise applications and workflows in the Revenue Cycle space. The role requires translating business needs into system requirements and guiding configuration, testing, and implementation across multiple applications.

You will collaborate with clinical and administrative teams, ensure regulatory alignment, and maintain thorough documentation.

Qualifications

• Bachelor's degree in a relevant field such as Business and/or Health Administration; 6 yrs additional experience can substitute for degree.
• Plus 4 years of practical experience in a healthcare organization’s revenue cycle.
• Nationally recognized coding credential (e.g., CPC-H, CPC-P); CCS, CCS-P, RHIT preferred; ICD-9/ICD-10, CPT-4, HCPCS experience advantageous.

Responsibilities

• Provide business system user support to the PHS Enterprise for Revenue Cycle initiatives; define workflow, scope and objectives based on business needs and system/regulatory requirements.
• Coordinate with user community to capture detailed business requirements for configuration, development/enhancement, and operations.
• Support applications across Revenue Cycle; act as liaison between users and application team; monitor Billing and Claims issues; document changes and results.

Skills

Business systems knowledge

Workflow analysis

Communication

Regulatory compliance

User coaching

Quality assurance

Education

Bachelor's degree in Healthcare Administration or related field

Tools

Revenue Cycle applications

Job description

Location Address:

9521 San Mateo NEAlbuquerque, NM 87113-2237

Compensation Pay Range:

Minimum Offer $60,985.60Maximum Offer $103,812.80

Now Hiring: Revenue Cycle Informatics Analyst

Summary:

Build your Career. Make a Difference. Presbyterian is hiring a skilled Revenue Cycle Informatics Analyst to join our team.Type of Opportunity: Full timeJob Exempt: YesJob is based: Reverend Hugh Cooper Administrative CenterWork Shift: Days (United States of America)

Responsibilities:

Provide business system user support to the PHS Enterprise specific to Revenue Cycle initiatives. Formulates and defines workflow, scope and objectives based on both business needs, and an understanding of business systems and regulatory requirements; Includes analysis of business needs, documentation of requirements, and translation into proper system requirement specifications. Assist in the implementation of business applications for specific systems and Revenue Cycle workflows. Investigate and provide review and findings for best practices of new application functions and understanding of user requirements and workflows.

• Works with user community to define business requirements in sufficient detail that systems configuration, development/enhancement, and/or operations activities can be pursued.
• Coaches user community in coordination with Instructional Designers the proper and effective use of the application system.
• Supports all applications in use by the Revenue Cycle with an expert knowledge in at least one of the applications that they support.
• Acts as primary liaison between the application team and the user community, responsible for facilitating communications, coordinating system requests and regulatory updates.
• Reviews and monitors ongoing Billing and Claims issues and collaborates with other team experts as appropriate.
• Oversees internal quality assurance efforts to verify functional system behavior.
• Uses operational knowledge to create specifications for workflow changes and new functionality as appropriate.
• Maintain complete documentation to ensure requirements have been met, and results are accurate and reproducible

Qualifications:

• Bachelors degree in a relevant field such as, but not limited to, Business and or Health Administration, Nursing or other Clinically oriented position. 6 yrs of additional experience can be substituted in lieu of degree.
• Plus 4 years of practical experience in a healthcare organizations revenue cycle is required. Critical thinking and extreme attention to detail required. Nationally recognized coding credential, i.e. CPC-H, CPC-P,
• CCS, CCS-P, RHIT preferred. Clinical experience or nurse auditor a plus. Experience in ICD-9, ICDC-10, CPT-4, and HCPCS coding strongly preferred. Fundamental understanding of hospital Chargemaster

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness

Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?

As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services

Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services