Manager Mid-Revenue Cycle Optimization & Technology Services, Support Optimization

Department:

10353 Revenue Cycle - Coding & HIM Optimization

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

n/a

Major Responsibilities:

• Manages oversight of all Epic and claims manager system operational functions which include but are not limited to, edit creation and maintenance, PB and HB Epic coding workflow redesigns, Epic upgrades, EAP builds (code setups), along with work queue maintenance and testing.
• Has direct oversight of Computer Assisted Coding system operations. Works with HIT and vendors to ensure all software and interfaces are up to date, functional and have limited delays.
• Serves as Coding Systems Representative on all Revenue Cycle and HIT collaboration committees for the system to ensure standardization of practice and build. Annually review all edits, rule and work queue assignments for accuracy and appropriateness. Works with HIT to reassign or approve changes.
• Identifies, maps, measures, analyzes and improves clinical and business processes, problems and requirements for assigned HIM and Coding System application(s). Performs current and future workflow analysis and maps our critical business processes using industry standards and best practices. Develops test plans, test cases and test scripts to validate performance of clinical/business functions. Conducts effective unit, integration and end-user acceptance testing through execution of the tests, tracking of problem reports and documenting final outcomes.
• Facilitates clinical/business practice processes which result in successful software transitions and system utilization. Identifies and analyzes opportunities for application product development, optimization and technical improvements/changes that foster streamlined and integrated workflows. In collaboration with information technology, translates user requirements into functional design specifications and reviews with users to ensure accuracy. Ensures accurate data maintenance and reviews the technological impact of business requirements.
• Manages and develops process documentation including current system guidelines, workflows, requirements, functional specifications, installation instructions, product test procedures, user manuals, procedures and troubleshooting guidelines. Completes change and quality control documentation using department standards. Reviews data integrity and audit reports to identify/resolve potential issues and analyzes opportunities for system process improvements and/or product development. Collaborates with information technology to implement changes. Performs data analysis to support data requirements and initiatives.
• Manages development of end user training/education modules and delivers training on system capabilities/functionalities as appropriate to the product or application and related systems. Assists users in using the full functionality of the application(s) and process flow. Evaluates training effectiveness, maintains and updates training curriculum as needed. Consults with leadership, team members and other revenue cycle partners to identify problems and resolutions related to equipment, applications and/or functionality. Provides input into project timelines. Ensures projects are completed successfully within deadlines.
• Develops tools, definitions and reports as requested by HIM Operations and Coding. Ensures that data reported externally to state associations per statute is accurate and timely. Provides analytical, technical and problem resolution. Independently investigates complex problems. Evaluates application effectiveness and/or performance, identifies potential risks and proactively resolves issues.
• Serves as Chair of the Epic HIM & Coding Standards workgroup to review potential Epic changes impacting HIM Operations and Coding, review requests for new Epic encounter/note/document types and/or specialties and other Epic related updates.
• Participates in strategic planning process and implements goals to support the overall organizational strategic plan. Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, pe