Billing Analyst - Surgical Services

Summary: Surgical Services Cerner System and provides administrative support as required.# Serves as the subject matter expert. Maintains Cerner files, troubleshoots Cerner and McKesson problems and acts as a lead for Cerner operational issues regarding OR Services, GI, and L # D. Analyzes, installs and assists with hospital wide installation/implementation as needed. Facilitates communications and acts as liaison and/or resource with various departments to define and communicate computer systems specifications, changes, and programs for designated clinical areas. Services is to perform accurate and timely revenue capture to ensure standardization, application of best practices and optimization of vendor relationships related to contract compliance, service level standards and outsourced service processes. Ensure internal and external vendor satisfaction.#### Education Requirement:
Associate degree or equivalent education/experience in related field required.# # Experience Requirement: Twenty-four (24) months administrative or clinical experience in a perioperative/surgical environment knowledge of hospital/health care operations.# # Licensure/Certifica
tion Requirement: NA # Key Job Responsibilities: # Assists in implementing and maintaining computer system applications and/or modules to ensure accurate recording of data and/or charge capture for Perioperative and Surgical Services.# Collaborates with the Information Technology Department to coordinate and maintain various information modules including Order Entry, Patient Care Inquiry, Nursing Documentation, and billing.# Demonstrates knowledge and skills to define and communicate computer system specifications, modifications/changes, and problems regarding various patient care applications, menus and documentation screens appropriate for targeted users. Coordinates the installation and upgrades of assigned systems/modules. Interacts with Nursing staff, physicians and ancillary personnel to assure full utilization of McKesson and Cerner. Prepares, maintains and distributes reports for operational, clinical, financial, administrative purposes and compliance. Prepares or assists in the preparation of user documentation and operations/training manuals in accordance with established format.# Assists with the design and implementation of computer downtime and recovery procedures. Provides technical direction and assistance to users to provide continuous operations of information systems.# Investigates and resolves technical matters within the database and module operation. Provides input for developing and modifying systems to meet client needs. Provides research for special projects. Assists with preparation and presentation of clinical and financial data. # Serves as administrative liaison; works collaboratively with information technology, finance, hospital/medical staff, vendors, training and development and others in a customer responsive/professional manner, in compliance with iRESPECT standards and promoting patient/customer satisfaction to coordinate and implement activities; answers inquiries and resolves operational programs; communicates and interprets policies, procedures and standards of practices to promote an understanding and provide efficient perioperative and surgical services information systems. # Reviews business/financial matters in accordance with established polices and procedures to ensure required information/codes have been updated and documented in system and meets billing requirements. # # # Provides research and administrative support for department operations, special projects and for problem resolution.# Coordinates and facilitates committees/work teams to gather and document requirements and explore potential solutions. Works with chargemaster and coordinates with revenue cycle to ascertain accuracy of chargemaster and revenue capture. # 5.############# Reconcile/Validate Bill Onlys to verify the accuracy of charges and review/correct potential errors.# Ensure vendor Bill Onlys match surgical documentation in current EMR System. Review and distribute vendor Bill Onlys to the other areas as needed for corrections/discrepancies. Communicate problems, abuse and errors to management. Create requisitions in financial billing system to generate vendor Purchase Orders (POs). Requisitions that have been validated are submitted for electronic approval to create the Purchase Order (POs). Monitor requisition approval status. Manage vendor relationships by: Maintaining accurate billing records to research and respond to questions/issues, and reconcile assigned Bill Onlys and related account receivables. Thorough knowledge of applicable accounts payable/general ledger systems and procedures, financial chart of accounts and hospital procedures. Monitor all outstanding balances and work with various vendors to clear issues for timely processing. 8.############ Revenue Capture in EMR system for daily direct patient charges Disposable charges for surgical cases. Surgical implants and supplies not captured in initial charge submission. Floor charges for items distributed by SPD based on log book. 9.########### Assist in month end closing. Verifies vendor accounts by reconciling monthly ledgers and related Bill Onlys. Provide reports to manager for monthly financial reporting. # Knowledge/Skills/Abilities: Strong computer, PC and financial skills required. Demonstrated ability to utilize various clinical and business computer applications as well as demonstrated ability to operate required information systems and computer related devices (PC, Printers, and LCD Projector etc.) required.# Demonstrated verbal and written communication skills.# Knowledge of teaching, learning, program development and evaluation methods required.# Ability to perform complex, detailed design and analytical tasks. Ability to organize and implement work assignments independently of direct supervision. Ability to exercise complex analytical judgment on work to be done. Ability to work independently and without direct supervision. Ability to perform under stress and in emergency situations. Ability to work well with others and demonstrates flexibility in relating to others.#### Supervision Provided by this Job:NONE # Physical Demands/Conditions: Prolonged standing and walking; lifting, turning patients and equipment; repeated bending, squatting and stooping; exposure to infectious agents.# Visual acuity is needed to assess color changes, to verify accuracy of written materials, and to administer and accurately prepare medications.# Heavy Work- Exerting up to 150 pounds of force occasionally, and/or up to 75 pounds of force frequently, and/or up to 30 pounds of force constantly to move objects.# (May be further defined as #with or without assistance.#)Summary:Surgical Services Cerner System and provides administrative support as required. Serves as the subject matter expert. Maintains Cerner files, troubleshoots Cerner and McKesson problems and acts as a lead for Cerner operational issues regarding OR Services, GI, and L & D. Analyzes, installs and assists with hospital wide installation/implementation as needed. Facilitates communications and acts as liaison and/or resource with various departments to define and communicate computer systems specifications, changes, and programs for designated clinical areas. Services is to perform accurate and timely revenue capture to ensure standardization, application of best practices and optimization of vendor relationships related to contract compliance, service level standards and outsourced service processes. Ensure internal and external vendor satisfaction.Education Requirement:Associate degree or equivalent education/experience in related field required.Experience Requirement:Twenty-four (24) months administrative or clinical experience in a perioperative/surgical environment knowledge of hospital/health care operations.Licensure/Certification Requirement:NAKey Job Responsibilities: * Assists in implementing and maintaining computer system applications and/or modules to ensure accurate recording of data and/or charge capture for Perioperative and Surgical Services. * Collaborates with the Information Technology Department to coordinate and maintain various information modules including Order Entry, Patient Care Inquiry, Nursing Documentation, and billing. * Demonstrates knowledge and skills to define and communicate computer system specifications, modifications/changes, and problems regarding various patient care applications, menus and documentation screens appropriate for targeted users. Coordinates the installation and upgrades of assigned systems/modules. * Interacts with Nursing staff, physicians and ancillary personnel to assure full utilization of McKesson and Cerner. * Prepares, maintains and distributes reports for operational, clinical, financial, administrative purposes and compliance. * Prepares or assists in the preparation of user documentation and operations/training manuals in accordance with established format. Assists with the design and implementation of computer downtime and recovery procedures. * Provides technical direction and assistance to users to provide continuous operations of information systems. Investigates and resolves technical matters within the database and module operation. Provides input for developing and modifying systems to meet client needs. * Provides research for special projects. * Assists with preparation and presentation of clinical and financial data. * Serves as administrative liaison; works collaboratively with information technology, finance, hospital/medical staff, vendors, training and development and others in a customer responsive/professional manner, in compliance with iRESPECT standards and promoting patient/customer satisfaction to coordinate and implement activities; answers inquiries and resolves operational programs; communicates and interprets policies, procedures and standards of practices to promote an understanding and provide efficient perioperative and surgical services information systems. * Reviews business/financial matters in accordance with established polices and procedures to ensure required information/codes have been updated and documented in system and meets billing requirements. * Provides research and administrative support for department operations, special projects and for problem resolution. Coordinates and facilitates committees/work teams to gather and document requirements and explore potential solutions. Works with chargemaster and coordinates with revenue cycle to ascertain accuracy of chargemaster and revenue capture.5.Reconcile/Validate Bill Onlys to verify the accuracy of charges and review/correct potential errors.*

Ensure vendor Bill Onlys match surgical documentation in current EMR System. * Review and distribute vendor Bill Onlys to the other areas as needed for corrections/discrepancies. * Communicate problems, abuse and errors to management. * Create requisitions in financial billing system to generate vendor Purchase Orders (POs). * Requisitions that have been validated are submitted for electronic approval to create the Purchase Order (POs). * Monitor requisition approval status. * Manage vendor relationships by: * Maintaining accurate billing records to research and respond to questions/issues, and reconcile assigned Bill Onlys and related account receivables. * Thorough knowledge of applicable accounts payable/general ledger systems and procedures, financial chart of accounts and hospital procedures. * Monitor all outstanding balances and work with various vendors to clear issues for timely processing.8.Revenue Capture in EMR system for daily direct patient charges*

Disposable charges for surgical cases. * Surgical implants and supplies not captured in initial charge submission. * Floor charges for items distributed by SPD based on log book.9.Assist in month end closing.*

Verifies vendor accounts by reconciling monthly ledgers and related Bill Onlys. * Provide reports to manager for monthly financial reporting.Knowledge/Skills/Abilities: * Strong computer, PC and financial skills required. Demonstrated ability to utilize various clinical and business computer applications as well as demonstrated ability to operate required information systems and computer related devices (PC, Printers, and LCD Projector etc.) required. * Demonstrated verbal and written communication skills. * Knowledge of teaching, learning, program development and evaluation methods required. * Ability to perform complex, detailed design and analytical tasks. * Ability to organize and implement work assignments independently of direct supervision. * Ability to exercise complex analytical judgment on work to be done. * Ability to work independently and without direct supervision. * Ability to perform under stress and in emergency situations. * Ability to work well with others and demonstrates flexibility in relating to others.Supervision Provided by this Job:NONEPhysical Demands/Conditions: * Prolonged standing and walking; lifting, turning patients and equipment; repeated bending, squatting and stooping; exposure to infectious agents. Visual acuity is needed to assess color changes, to verify accuracy of written materials, and to administer and accurately prepare medications. Heavy Work- Exerting up to 150 pounds of force occasionally, and/or up to 75 pounds of force frequently, and/or up to 30 pounds of force constantly to move objects. (May be further defined as "with or without assistance.")