Erlanger Health System
Remote Jobs
N/A
6 Jobs
Role Description The Revenue Integrity Analyst plays a pivotal role in ensuring financial health for the professional services team by meticulously managing the charge master, regulation code changes, work queues, charge capture, charge reconciliation, reporting, and analytical trending. This includes the identification of root cause and creation/maintenance of processes to ensure charge capture. In addition, this position is required to provide analytical insight regarding reports for charges that are not captured accurately or consistently. This position is responsible for uncovering root causes and developing a correct action plan. Recommends modifications to established practices and procedures or system functionality as needed to support Revenue Cycle and then manages implementation of those recommended changes. Qualifications - High school graduate or equivalent. - CPI Annual/Biannual training if applicable. - Must have working-level knowledge of the English language, including reading, writing, and speaking English. - Associates or Bachelor's Degree in Business Administration, Finance, or related field (preferred). Requirements - 3-5 years related experience required with extensive knowledge of ICD-10-CM and CPT coding principles. - Good organizational, written, and verbal communication skills. - Certified Professional Coder (CPC), or Certified Outpatient Coder (COC), or Certified Coding Specialist, or Registered Health Information Technician (RHIT), or Registered Health Information Administrator (required). - Certified Revenue Cycle Specialist, RCMS, or CHRI, or CRCS (preferred). General Duties - Charge Master - Evaluates current charging processes to diagnose the root cause of any charge inefficiencies and ensures standard charge practices are implemented. - Analyzes changes to coding and billing rules and regulations and using independent decision making to ensure appropriate updates to CDM and charge processes are implemented. - Prepare and present quarterly and annual CPT/HCPCS changes, annual pricing updates and provide education material and presentation. - Conduct thorough research to ensure the Charge Description Master (CDM) is maintained regularly. - Leads efforts of collaboration with multi-disciplinary groups responsible for monitoring and assuring the accuracy and enhancement of the charge master. - Operational Improvement - Collaborates with stakeholders in revenue enhancement projects as needed. - Provides leadership and expertise with various groups to develop new areas of review for future revenue enhancement and/or compliance initiatives. - Conduct thorough analysis of billing errors and denial data to diagnose root causes. Utilizes independent decision making to execute work plans to correct identified deficiencies related to charge problems. Responsible for problem solving and resolution of complex claim edits. - Stay up to date with industry trends, emerging technologies, and regulatory changes affecting healthcare revenue cycle management and proactively share knowledge with the team. - Perform Quality Assurance on team members, as needed. - Trending and analysis of key data to identify areas for additional education. - Charge Capture - Serves as subject matter expert (SME) of charge capture methodologies and helps investigate and solve charging issues and provide charge capture recommendations to clinical departments and hospital staff. - Diagnoses root cause issues of charge problems and provide education for best practice recommendations for improvement. - Conduct root cause analysis on late charge reporting and provide education for timely charge capture. - Ensure effective monitoring and internal control processes in place to improve revenue capture. - Identify operational performance and revenue opportunities through detailed data review. - Ensure effective monitoring and reporting control processes in place to improve performance. - Coordinate operational objectives by contributing information and recommendations to strategic plans and reviews; preparing and completing action plans. Knowledge, Skills & Abilities - Collaboration - Works cooperatively within teams and partners with others, both internally and externally as needed, to achieve success. - Accountability - Accepts personal responsibility and/or consequences of failure and successes, delivering on commitments and refocusing effort when needed. - Time Management - Effectively manages personal time and resources to ensure that work is completed efficiently. - Takes Initiative - Takes prompt action to accomplish goals and achieve results beyond what is required; is proactive and pursues relentlessly. - Adopts a philosophy consistent with Erlanger Health's Mission, Vision, and Values, and models these standards. - Strong interpersonal skills facilitate seamless communication with the clinical staff, and faculty. - Solid understanding of coding conventions and current third-party payer rules and regulations. - Current knowledge of third-party payer rules and regulations. - Knowledge of management and supervision and the ability to organize staff's work. - Knowledge and understanding of computers to confidently monitor and obtain information from electronic medical records and database system. - Ability to work independently and demonstrate problem-solving skills. - Ability to apply critical thinking skills to complex issues and situations. - Knowledge and understanding of the requirements for complete medical records per Erlanger Health Bylaws, rules and regulations, DNV, Federal, State, and regulatory body regulations. - Demonstrates command of written and telephone communication skills. - Ability to maintain confidentiality and adhere to federal, state, HIPAA, and hospital policy in regards to privacy of patient health information. - Organizational skills to effectively demonstrate ability to prioritize during job performance. - Knowledge of windows operating system, Microsoft Office products, Electronic Health Record System, Document Imaging System and office equipment.
Role Description As a Human Resources Professional, the Senior Compensation Analyst works independently, managing multiple timelines and priorities. - Provide salary recommendations to Recruiters and Leaders throughout the organization. - Conduct job and market analyses to determine pay range and Fair Labor Standards Act status of positions. - Participate in salary surveys, conduct research and analysis on market competitiveness, pay equity, and compensation trends. - Create pay grades when necessary relative to indented ranges. - Investigate and resolve employee compensation related problems. - Conduct wage and hour audits to ensure compliance with DOL Fair Labor Standards Act Regulations. - Assure adherence to compensation policies, procedures, and practices within the organization. - Create new job codes or reactivate former job codes and set up new cost centers in HR PeopleSoft system. - Update Tree Manager and update managers in KRONOS System in absence of the Compensation Analyst. - Supervise activities of the Compensation Analyst. Qualifications - Required: Bachelor's Degree in related field. - Preferred: N/A Requirements - Required: - Three years in Compensation or Human Resources field. - Proficiency in research and data analysis. - Strong problem-solving skills. - Excellent verbal, written, and presentation skills. - Ability to work well under pressure, meet tight deadlines, and work independently with little or no supervision. - Good judgment, professional, tactful, and timely conflict-resolution skills. - Good organizational skills with focus on details and appropriately prioritizes work. - Proficiency with software applications, such as Microsoft Excel and Microsoft Word. - Knowledge of PeopleSoft and Kronos Systems preferred. - Preferred: Knowledge of the United States Department of Labor (DOL) Fair Labor Standards Act Regulations. Benefits - N/A Company Description N/A
Job Summary: Reporting to Patient Access and Revenue Cycle Manager, the Revenue Cycle Applications Analyst III is responsible for collaborating independently with system (clinical, revenue, ambulatory) management and serve as a technical resource to identify, analyze, prioritize and resolve system needs. This individual will uses cases, work flows and metrics to configure, maintain and monitor system, along with providing suggestions for potential application modifications, enhancements or process changes as appropriate. This individual will serve revenue cycle (i.e. Registration, Revenue Integrity, Billing, Scheduling, coding and Charge Master). This individual should have excellent customer service skills along with highly effective written / verbal communication and interpersonal skills. The Revenue Cycle Applications Analyst III works independently and relies on experience and judgment to plan and accomplish tasks. Days and hours worked may be variable. Education: Required: A Bachelor's Degree in Business Administration, Computer Science or Information Management OR Equivalent combination of education and experience Preferred: Experience: Required: 5 years experience in healthcare related setting with knowledge of Patient Access / Revenue Cycle / Business systems. Understanding of information system technology and database applications is necessary. Preferred: Position Requirement(s): License/Certification/Registration Required: Complete education and pass certification in assigned EPIC application module(s) within 120 days of completed education Preferred: EPIC certification in the module(s) being represented. Experience in EMR installations. 5 yrs experience with MS SQL, report automation knowledge, report writing. Department Position Summary: The Revenue Cycle Applications Analyst III (RCAA - 3) should be able to demonstrate the knowledge and skills necessary to support for systems/ applications to which assigned (i.e. Registration, Billing, Coding, Scheduling, Charge Master, and Revenue Integrity as applicable) The Revenue Cycle Applications Analyst III will work with various support tools depending on the system module(s) assigned. The RCAA - 3 will be highly motivated self starters, with technical and analytical abilities and excellent communication and interpersonal skills. The employee must: Develop functional specifications and operational process flows, department procedures, business requirements or other necessary documentation for approved system enhancements or modifications Demonstrates strong knowledge of IS internal department processes as well as software application support Demonstrates comprehensive knowledge of computer systems, applications and interfaces Demonstrates proficiency in all skills required to facilitate complex applications and system enhancements or replacements Demonstrates advanced proficiency in creating detailed documentation, including system design documentation, procedures, process and data flows Demonstrates an advanced understanding of revenue cycle operations Demonstrates attention to detail in data gathering, specifications development and documentation and recording Produce and provide analysis through reports, dashboards and analytic tools to management Develop Metrics and KPI's designed to monitor the performance of management and staff in achieving SLA's adhering to process and the timely recording of pertinent data Follow up on errors to determine root cause and recommend solution Develops reports and plans database additions taking reporting needs into consideration Supports multiple concurrent projects and/ or application modules, educates and coaches other team members and manages user expectations Demonstrate initiative, creativity and flexibility in problem resolution Exercise good judgment Effectively manage work time while handling more than one assignment at a time Prioritize work assignments to ensure the appropriate work is being completed Demonstrate integrity, credibility and personal accountability Set high work standards Seek to share application and other specialized knowledge with peers Demonstrate excellent oral and written communication skills Demonstrate commitment to customer service
Job Summary: Reporting to Patient Access and Revenue Cycle Manager, the Revenue Cycle Applications Analyst III is responsible for collaborating independently with system (clinical, revenue, ambulatory) management and serve as a technical resource to identify, analyze, prioritize and resolve system needs. This individual will uses cases, work flows and metrics to configure, maintain and monitor system, along with providing suggestions for potential application modifications, enhancements or process changes as appropriate. This individual will serve revenue cycle (i.e. Registration, Revenue Integrity, Billing, Scheduling, coding and Charge Master). This individual should have excellent customer service skills along with highly effective written / verbal communication and interpersonal skills. The Revenue Cycle Applications Analyst III works independently and relies on experience and judgment to plan and accomplish tasks. Days and hours worked may be variable. Education: Required: A Bachelor's Degree in Business Administration, Computer Science or Information Management OR Equivalent combination of education and experience Preferred: Experience: Required: 5 years experience in healthcare related setting with knowledge of Patient Access / Revenue Cycle / Business systems. Understanding of information system technology and database applications is necessary. Preferred: Position Requirement(s): License/Certification/Registration Required: Complete education and pass certification in assigned EPIC application module(s) within 120 days of completed education Preferred: EPIC certification in the module(s) being represented. Experience in EMR installations. 5 yrs experience with MS SQL, report automation knowledge, report writing. Department Position Summary: The Revenue Cycle Applications Analyst III (RCAA - 3) should be able to demonstrate the knowledge and skills necessary to support for systems/ applications to which assigned (i.e. Registration, Billing, Coding, Scheduling, Charge Master, and Revenue Integrity as applicable) The Revenue Cycle Applications Analyst III will work with various support tools depending on the system module(s) assigned. The RCAA - 3 will be highly motivated self starters, with technical and analytical abilities and excellent communication and interpersonal skills. The employee must: Develop functional specifications and operational process flows, department procedures, business requirements or other necessary documentation for approved system enhancements or modifications Demonstrates strong knowledge of IS internal department processes as well as software application support Demonstrates comprehensive knowledge of computer systems, applications and interfaces Demonstrates proficiency in all skills required to facilitate complex applications and system enhancements or replacements Demonstrates advanced proficiency in creating detailed documentation, including system design documentation, procedures, process and data flows Demonstrates an advanced understanding of revenue cycle operations Demonstrates attention to detail in data gathering, specifications development and documentation and recording Produce and provide analysis through reports, dashboards and analytic tools to management Develop Metrics and KPI's designed to monitor the performance of management and staff in achieving SLA's adhering to process and the timely recording of pertinent data Follow up on errors to determine root cause and recommend solution Develops reports and plans database additions taking reporting needs into consideration Supports multiple concurrent projects and/ or application modules, educates and coaches other team members and manages user expectations Demonstrate initiative, creativity and flexibility in problem resolution Exercise good judgment Effectively manage work time while handling more than one assignment at a time Prioritize work assignments to ensure the appropriate work is being completed Demonstrate integrity, credibility and personal accountability Set high work standards Seek to share application and other specialized knowledge with peers Demonstrate excellent oral and written communication skills Demonstrate commitment to customer service
Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY Job Summary: With minimal supervision, the Workday Systems Functional Analyst assesses business needs, documents objectives, and serves as the ERP subject matter expert. This role supports system design, configuration, implementation, and optimization to ensure data integrity, reporting accuracy, regulatory compliance, efficient workflows, and a high-quality user experience. The analyst develops process documentation, testing criteria, project plans, and provides ongoing support to end users across the organization. Essential Job Duties: System Configuration and Support - Configure business processes, security, dashboards, reports, calculated fields, and EIBs. - Document workflows and create user friendly procedures. - Provide training, guidance, and support to end users. - Perform data analysis to support decision making. - Manage change communications, test system changes, and maintain documentation. - Collaborate with teams and vendors; communicate system updates. - Support business continuity and validate system integrity after downtimes. Problem Solving - Troubleshoot complex Workday issues; perform root cause analysis. - Maintain data integrity through audits and governance practices. - Mentor junior analysts. - Prioritize requests based on operational and regulatory needs. - Track, escalate, and coordinate issue resolution with IT and vendors. - Meet on call expectations and SLAs. Professional Performance - Provide team support and mentorship. - Maintain certifications and apply new knowledge. - Ensure accurate, timely communication and reduce duplicative work. - Identify system efficiencies and improvement opportunities. - Stay current on industry and regulatory changes impacting systems. Integrated Application Management - Support Workday integrations (Studio, RaaS, etc.). - Ensure accurate role-based security and compliance with audit requirements. - Perform functional testing and assist with cross team collaboration. Project Management and Performance - Complete project tasks on schedule. - Support Workday releases, upgrades, and enhancements. - Assist with needs assessment, solution evaluation, demos, and testing. - Maintain required project and testing documentation. Other Duties - Performs other duties as assigned. Education: Required: Bachelor's Degree or equivalent extensive work experience in managing Enterprise resource Management systems (Workday) Preferred: Bachelor's degree in business or systems analysis or similar degree with emphasis on data/information analysis (Workday) Experience: Required: 3 years' Workday, with proven expertise in planning, configuring, deploying Workday HCM with a thorough understanding of database construction and system integrations. Preferred: 3-5+ years' Workday Configuration. Healthcare experience Position Requirement(s): License/Certification/Registration Required: Complete education and pass certification in primary Workday application module(s) within 120 days of completed education and maintaining certification(s) as required. Preferred: N/A Knowledge, Skills, and Abilities: 1. Strong analytical and problem-solving skills, with expertise in data analysis and reporting tools 2. Excellent project management and communication skills, with the ability to translate technical concepts for diverse audiences and foster cross functional collaboration. Department Position Summary: The Workday Systems Functional Analyst supports business units by serving as the subject matter expert for Workday configuration, optimization, and data integrity. This role partners closely with operational leaders to evaluate business needs, streamline workflows, and implement system solutions that enhance accuracy, regulatory compliance, and the overall user experience. The analyst manages functional configuration, tests and validates system changes, develops documentation and training materials, and supports Workday releases and integrations to ensure reliable, efficient, and compliant HR technology operations across the health system.
Role Description With minimal supervision, the Workday Systems Functional Analyst assesses business needs, documents objectives, and serves as the ERP subject matter expert. This role supports system design, configuration, implementation, and optimization to ensure data integrity, reporting accuracy, regulatory compliance, efficient workflows, and a high-quality user experience. The analyst develops process documentation, testing criteria, project plans, and provides ongoing support to end users across the organization. Essential Job Duties - System Configuration and Support - Configure business processes, security, dashboards, reports, calculated fields, and EIBs. - Document workflows and create user friendly procedures. - Provide training, guidance, and support to end users. - Perform data analysis to support decision making. - Manage change communications, test system changes, and maintain documentation. - Collaborate with teams and vendors; communicate system updates. - Support business continuity and validate system integrity after downtimes. - Problem Solving - Troubleshoot complex Workday issues; perform root cause analysis. - Maintain data integrity through audits and governance practices. - Mentor junior analysts. - Prioritize requests based on operational and regulatory needs. - Track, escalate, and coordinate issue resolution with IT and vendors. - Meet on call expectations and SLAs. - Professional Performance - Provide team support and mentorship. - Maintain certifications and apply new knowledge. - Ensure accurate, timely communication and reduce duplicative work. - Identify system efficiencies and improvement opportunities. - Stay current on industry and regulatory changes impacting systems. - Integrated Application Management - Support Workday integrations (Studio, RaaS, etc.). - Ensure accurate role-based security and compliance with audit requirements. - Perform functional testing and assist with cross team collaboration. - Project Management and Performance - Complete project tasks on schedule. - Support Workday releases, upgrades, and enhancements. - Assist with needs assessment, solution evaluation, demos, and testing. - Maintain required project and testing documentation. - Other Duties - Performs other duties as assigned. Qualifications - Required: Bachelor's Degree or equivalent extensive work experience in managing Enterprise Resource Management systems (Workday) - Preferred: Bachelor's degree in business or systems analysis or similar degree with emphasis on data/information analysis (Workday) Experience - Required: 3 years' Workday, with proven expertise in planning, configuring, deploying Workday HCM with a thorough understanding of database construction and system integrations. - Preferred: 3-5+ years' Workday Configuration; Healthcare experience Position Requirement(s): License/Certification/Registration - Required: Complete education and pass certification in primary Workday application module(s) within 120 days of completed education and maintaining certification(s) as required. - Preferred: N/A Knowledge, Skills, and Abilities - Strong analytical and problem-solving skills, with expertise in data analysis and reporting tools - Excellent project management and communication skills, with the ability to translate technical concepts for diverse audiences and foster cross functional collaboration. Department Position Summary The Workday Systems Functional Analyst supports business units by serving as the subject matter expert for Workday configuration, optimization, and data integrity. This role partners closely with operational leaders to evaluate business needs, streamline workflows, and implement system solutions that enhance accuracy, regulatory compliance, and the overall user experience. The analyst manages functional configuration, tests and validates system changes, develops documentation and training materials, and supports Workday releases and integrations to ensure reliable, efficient, and compliant HR technology operations across the health system.