Revenue Cycle Consultant- Middle End

Duration: 4 Months (Contract to Hire). 

The Revenue Cycle Business Consultant supports revenue cycle processes that span multiple departments, multiple workflows and systems or supports analytic efforts of the revenue cycle through report development, data quality assurance, process mapping and analysis. The position also supports business process improvement efforts including projects to enhance Epic, automation, quality, and efficiency through report writing, analysis, business case development and data validation.

Revenue Process Support, Workflows and Systems

• Develop and maintain written documentation for processes that exist between departments, systems, external vendors and payers.
• Act as a high-level business process consultant between operations, performance improvement and IT for needs that cross boundary. Implement processes and practices that can adapt quickly to changing organization, business, and payer demands. The position does not replace normal relationships between various departments but rather acts as a complement to existing relationships to enhance and expedite performance improvement activities.
• Reviews business process, system or other changes that might impact existing workflows and recommends methods to optimize to desired state and improve efficiency. Review system or process architecture in scope of assigned projects.
• Perform business impact reviews of test plans that span across departments, workflows or systems or to assess impact, efficiency and effectiveness.
• Create, optimize, and support the implementation of processes that link closely to system workflows. Determine how these workflows will impact existing staffing, how to continuously refresh and monitor these flows and recommend optimal change management processes.
• Communicate information clearly and create an environment where people can engage in open dialogue and reach effective solutions together to optimize workflow or process.
• Direct cross-functional teams to resolve complex issues related to automated workflows or other complex processes or lead discussions with the business and operational leaders to analyze reporting needs, configure and model data and develop reports using specialized knowledge of reporting applications and software applications.

Data Reporting and Analysis

• Responsible for creating and managing the financial and operational reports generated on regular and an ad hoc basis using software applications for report writing and data warehousing; provides consultation and assistance to ensure end users and operational reporting needs are met through report development and design.
• Primary liaison to various internal and external user groups within terms of revenue cycle data reporting and analysis. Assist revenue cycle leadership, management, and staff in analyzing, interpreting, and presenting data and information to various parties.
• Develop and build reporting solutions that monitor and benchmark cost, utilization and other quality and performance indicators; Act as primary support to senior leadership in accessing relevant data necessary to develop strategic and operational business plans, and process improvements.
• Develop business case analysis to support process optimization and change.
• Perform troubleshooting and problem solving activities related to business intelligence reporting as necessary. Analyze data and reports to understand business impact, correlations/discrepancies, and to propose changes/alternate solutions. Work closely with the Information Technology teams to resolve issues and perform analysis in a timely manner.

Knowledge, Skills and Abilities:

• Project Management
• Change Management
• Process Improvement
• Cross-Functional Team Leadership   
• Epic Reporting       
• Epic Design Exp (Not Building/ Coding)         
• Epic Rev Cycle Experience Required          
• Strong analytical and communication skills    Required
• Strong computer skills to include database analysis    Required
• Statistical software experience     Preferred
• Extensive knowledge of workflow and/or system design Required.
• Extensive knowledge of analytical tools, business intelligence tools and statistical packages Required.

Education Required:    

• Bachelor's Degree

Work Experience:

• At least five (5) years’ experience with system design, process workflow design or business/systems consulting.  Required   
• EPIC experience Required.
• Epic Mechanics how it works.
• Revenue Cycle experience Required.

Middle End Patient Experience Revenue Integrity Charge/ Charge Router Coding (how it works in EPIC, mechanics - not actual coding). Moreover, this role will entail an element of cross functional team leadership within which project management, process improvement, stakeholder alignment (executives), change management, and significant Rev Cycle EPIC experience are critical. In lieu of certs, requisite EPIC experience will be explored.

Licenses, Certifications, and Registrations

• EPIC certification EPIC Preferred   
• Lean Six Sigma Green Belt (LSSGB) Lean Six Sigma Green Belt - LSSGB - American Society for Quality Preferred