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

Employer
University of Virginia
Location
Charlottesville, VA

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Job Details

Job location: Charlottesville, VA


Employment Type: Full-time
Posted data: 2019-07-17
Req: R0008283
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 needed

Billing 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 REQUIREMENTS

Senior Analyst:

REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities):

Education: 

  • Bachelor’s 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: 

  • Bachelor’s 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 plus

WORKING 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 Physician’s 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.

Organization

In 1819, the University of Virginia established a new model for intellectual exchange and cross-disciplinary collaboration in higher education. Two hundred years later, as a major research institution, we continue to challenge conventions, lead with ingenuity and advance knowledge for the common good.

What began as an innovative idea has become one of the nation’s leading public research universities, with over 21,000 undergraduate, graduate and professional students. UVA also has over 3,000 full-time faculty offering more than 400 degrees.

Each of the University’s eleven schools has its own distinctive mission, working together to garner consistently high rankings—including #2 Best Value Public College (Princeton Review, 2016), #3 Public University in the Nation (U.S. News & World Report, 2016), and #3 Best Value Among Public Colleges (Kiplinger’s, 2016).  

As we invest in and strengthen our research capabilities, UVA seeks new faculty ready to uncover new insights, rewrite old rules and collaborate on intellectual discoveries.

RESEARCH COLLABORATIONS THAT CROSS DISCIPLINES

As an R1 institution, the University’s research centers, consortia and laboratories are on the leading edge of discovery and technology, offering collaborative spaces for students and faculty to solve global problems.

Our professors are recognized members of major national scholarly and professional organizations, including the National Academy of Sciences and the American Academy of Arts and Sciences. Our faculty’s engagement in interdisciplinary research is being facilitated by new research institutes specializing in everything from big data to brain functioning, and by cluster hires across schools.

NATIONALLY RANKED HEALTH SYSTEM

UVA is also home to a nationally renowned academic medical center and the UVA Health System, which serves a three-part mission to treat patients, conduct translational research and train medical practitioners in a wide variety of disciplines.

Established as the nation’s 10th medical school in 1825, the institution has since grown to include a 612-bed hospital and a Level I trauma center, nationally recognized cancer and heart centers, a Children’s Hospital, and primary and specialty clinics throughout Central Virginia.

The UVA Medical Center is consistently ranked among the nation’s best hospitals by the U.S. News & World Report magazine and has been named among the top 25 percent in seven specialties.

INSPIRING STUDENTS, INSPIRED TEACHING

The vast majority of UVA students come from the top 10% of their high school class, as well as from all 50 states, over 142 countries and a variety of socioeconomic backgrounds. Despite their diversity, all UVA students share a love of learning and a drive to achieve.

One of the reasons students choose Virginia is our unique residential culture. At UVA, the community of students, faculty and staff personifies the Jeffersonian idea that living and learning are connected. The Academical Village was constructed to support a unique residential experience, with faculty living in the Pavilions, students occupying Lawn rooms and the world-famous Rotunda at its heart. The University’s residential culture continues to support this experience today—strengthened by students, faculty and staff rich in backgrounds, ideas and perspectives. Our unique culture is also paying dividends in innovation:  UVA’s faculty have generated more than 130 patents since 2010.

Perhaps most importantly, faculty come to UVA knowing that instruction is as important as research, and they pride themselves on their many teaching awards.  Our best professors look for ways to encourage, mentor and develop tomorrow’s leaders inside and outside the classroom.

LIFE IN CHARLOTTESVILLE

Living in Charlottesville you’ll find sophisticated restaurants, world-renowned wineries and breweries, cosmopolitan arts and music, friendly urban and suburban neighborhoods and a Piedmont landscape that has lured adventurous souls for centuries.  No wonder the U.S. National Bureau of Economic Research named Charlottesville the “happiest city in America” in 2014.

In addition to UVA and its health system, several major employers have facilities in Charlottesville, including State Farm, Northrop Grumman, the U.S. Department of Defense, GE and others.  Charlottesville is also becoming a center for innovative start-up businesses.  The University also actively helps spouses and partners of faculty members build their networks and pursue employment opportunities with a wide variety of area employers. 

The University of Virginia is an equal opportunity and affirmative action employer. Women, minorities, veterans, and persons with disabilities are encouraged to apply. In accordance with the Americans with Disabilities Act Amendments Act of 2008 (ADAAA) and the Rehabilitation Act of 1973, qualified individuals with disabilities are protected from discrimination and may be entitled to reasonable accommodations to assist in their pursuit of employment at the University. This includes assistance in completing the online job application as well as reasonable accommodations during the interview process. Please contact the UHR Service Center: 434.982.0123 orAskHR@virginia.edu to request assistance.

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