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Epic Compliance & Billing Analyst Or Senior Epic Compliance & Billing Analyst

Company: University of Virginia
Location: Charlottesville
Posted on: November 17, 2019

Job Description:

The incumbent is responsible for coordination and performance of analysis, design, development, testing, validation and implementation of Epic screens used by clinicians performing and documenting patient care activities leveraging system functionality to support clinical process and organizational goals. The incumbent will utilize a combination of communication, programming and analytical skills to formulate/define end user needs, design & propose enhancements to Epic functionality and recommend solutions in Epic.Senior Analyst:

  • PRINCIPAL DUTIES AND RESPONSIBILITIES : Essential functions of the job:
  • Possess an in-depth knowledge of the Epic software as well as clinical operations and workflow.
  • Work closely with project team clinical leaders to translate patient care needs into Epic functionality.
  • Understand and document current workflows that are supported by the existing clinical system and determine how best to maximize functionality to complement and improve the workflows.
  • Work directly with various stakeholders, include the providers, department administrators and department billing managers, Medical Center IT personnel and Billing Quality Educators to design and implement Epic solutions that improve clinical workflow and minimize compliance risk.
  • Willingness to learn new skills to respond quickly to changing customer needs.
  • Understand the use of clinical computer applications, which assist in the management and processing of clinical information and delivery of health care services.
  • Provides on-going support of the Epic system and the end-users.
  • Understand and apply established Medical Center Epic policies and procedures within the functional area of responsibility accurately when identifying possible changes and assessing their impact on current automated processes.
  • Provide cost effective and process efficient alternatives and appropriate solutions for application development, enhancement, or modification as needed.
  • Formulate and define system scope and objectives through research and fact finding to develop or modify moderately complex information systems.
  • Participate in training of users in new system functionality and provide at the elbow support.
  • Maintain a working knowledge of applicable regulatory requirements and request system modifications to comply with regulations.
  • Information is sought concerning regulatory and compliance requirements that apply to systems currently in use (e.g. Medicare and other agencies)
  • Participate in the install of new and upgrade of existing clinical and billing applications to ensure documentation will be compliant and professional charges will be generated appropriately.
  • Review Epic testing to ensure professional charges have generated and posted as expected. When issues arise research and provide resolutions to the problems.
  • Completes other assignments as neededBilling Analyst:PRINCIPAL DUTIES AND RESPONSIBILITIES :Essential functions of the job:
    • Possess an in-depth knowledge of the Epic software as well as clinical operations and workflow.
    • Work closely with project team clinical leaders to translate patient care needs into Epic functionality.
    • Understand and document current workflows that are supported by the existing clinical system and determine how best to maximize functionality to complement and improve the workflows.
    • Work directly with various stakeholders, include the providers, department administrators and department billing managers, Medical Center IT personnel and Billing Quality Educators to design and implement Epic solutions that improve clinical workflow and minimize compliance risk.
    • Willingness to learn new skills to respond quickly to changing customer needs.
    • Understand the use of clinical computer applications, which assist in the management and processing of clinical information and delivery of health care services. Provides on-going support of the Epic system and the end-users.
    • Understand and apply established Medical Center Epic policies and procedures within the functional area of responsibility accurately when identifying possible changes and assessing their impact on current automated processes.
    • Provide cost effective and process efficient alternatives and appropriate solutions for application development, enhancement, or modification as needed.
    • Formulate and define system scope and objectives through research and fact finding to develop or modify moderately complex information systems.
    • Participate in training of users in new system functionality and provide at the elbow support.
    • Maintain a working knowledge of applicable regulatory requirements and request system modifications to comply with regulations.
    • Information is sought concerning regulatory and compliance requirements that apply to systems currently in use (e.g. Medicare and other agencies)
    • Participate in the install of new and upgrade of existing clinical and billing applications to ensure documentation will be compliant and professional charges will be generated appropriately.
    • Review Epic testing to ensure professional charges have generated and posted as expected. When issues arise research and provide resolutions to the problems.
    • Completes other assignments as needed.MINIMUM REQUIREMENTSSenior Analyst:REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities) :Education:
      • Bachelors Degree or equivalent experience (3-5 years required).
      • Medical coding certification: CPC or CCS required.
      • RHIT or RHIA certification or related practical experience in a clinical environment preferred.Experience:
        • Three to five years of experience in systems related field.
        • Experience in multi-specialty, academic, tertiary care physician practice a plus.
        • Seven to ten years of experience in medical billing and coding compliance.
        • Systems analysis experience.
        • Experience providing training to adults a plus.Knowledge and skills:
          • Must demonstrate the advanced ability to both prepare and analyze data as determined by management.
          • Demonstrated advanced ability to implement and execute multi-task assignments independently.
          • Proficient communication, auditory and visual skills with attention to detail and ability to write legibly.
          • Knowledge of professional billing and compliance required.
          • Epic certification or proficiency must be attained within 3 months of the first class attendance (for certification) or hire date (for proficiency). Each exam must be passed within two attempts. If a third attempt is required, the counseling process will commence. If any of the exams/projects are not passed within 3 attempts or proficiency/certification is not attained within the 3 month period, termination may result.Billing Analyst :REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities) :Education:
            • Bachelors Degree or equivalent experience (3-5 years required).
            • Medical coding certification: CPC or CCS required, or obtained within 6 months of hire
            • RHIT or RHIA certification or related practical experience in a clinical environment preferred
            • Epic certification or proficiency must be attained within 3 months of the first class attendance (for certification) or hire date (for proficiency). Each exam must be passed within two attempts. If a third attempt is required, the counseling process will commence. If any of the exams/projects are not passed within 3 attempts or proficiency/certification is not attained within the 3 month period, termination may result.Experience:
              • Three to five years of experience in systems related field.
              • Experience in multi-specialty, academic, tertiary care physician practice a plus.
              • Five to seven years of experience in medical billing and coding compliance.
              • Systems analysis experience.
              • Experience providing training to adults a plus.Knowledge and skills:
                • Must demonstrate the advanced ability to both prepare and analyze data as determined by management
                • Demonstrated advanced ability to implement and execute multi-task assignments independently
                • Proficient communication, auditory and visual skills with attention to detail and ability to write legibly
                • Knowledge of professional billing and compliance required
                • Experience teaching/training adults, a plusWORKING CONDITIONS :
                  • General busy clinical office environment, job requires sitting for long periods of time.
                  • Ability to lift and carry approximately 25 pounds of training materials.The University of Virginia, including the UVA Health System and the University Physicians Group are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.In 1819, Thomas Jefferson founded the University of Virginia and inaugurated a bold experiment. Two centuries later, Jeffersons vision thrives. Across Grounds - and throughout the world - UVA students, faculty, staff and alumni challenge convention, break barriers and pursue the greater good.The University of Virginia is made up of eleven schools and affiliated foundations in Charlottesville plus the College at Wise in Southwest Virginia.The University of Virginia Health System is a renowned academic medical center committed to providing outstanding patient care, educating tomorrow's health care leaders and discovering new and better ways to treat diseases. The University's Medical Center, School of Medicine and Physicians Group are recognized for their excellence in patient care, education and research.At UVA, we offer a rich collection of benefits, which have long been recognized and valued for their comprehensiveness and competitiveness in the market. In addition to a robust array of traditional benefits such as health care, time off, and retirement, UVA offers a comprehensive list of benefits and services to help staff and faculty meet their personal and family needs.

Keywords: University of Virginia, Richmond , Epic Compliance & Billing Analyst Or Senior Epic Compliance & Billing Analyst, Professions , Charlottesville, Virginia

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