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Community Action Partnership of Western Nebraska
Gering, NE, United States (on-site)
30+ days ago
Community Action Partnership of Western Nebraska
Gering, Nebraska, United States (on-site)
30+ days ago

Description

Billing and Clinic Data Analyst

Full-time/Non-exempt

Job Title:  Billing and Clinic Data Analyst

Reports To: Billing and Information Systems Manager

Essential Duties and Responsibilities:  Design reports and visualizations, implement processes for monitoring and capturing data, and identify areas for quality improvement from the CAHC medical/behavioral health EHR, dental EHR and other systems to improve operations, standardize processes, and meet reporting needs accurately and efficiently.

Major Duties:   

  1. Play an active role in patient services using the provider led, team-based Patient Centered Medical Home Model.
  2. Work with CAHC clinic senior staff and program managers to prioritize business and information needs and routinely prepare various individual and integrated statistical reports on operational performance by maintaining a work plan of reports to run daily, weekly, monthly, quarterly and/or annually as needed.
  3. Identify, analyze, and interpret data to find and share discrepancies and patterns in data sets through data visualization tools and detailed reports, sharing findings with QAQI Committee, HIT Committee, and Services Business Team.
  4. Research viable methods and best practices of collecting and analyzing data to support performance improvement, grant development and financial reporting.
  5. Assist CAHC managers in developing standard and customized reports.
  6. Develop and implement audits to review billing and collection patterns and make corrective recommendations.
  7. Develop routine, ongoing reports for the Billing Manager pertaining to account balances, aging, claim rejections/denials, and help to identify trends or issues.
  8. Assist Billing Manager with coding, charge entry, and claims submission. Routinely analyze and work claims that are rejected or denied.
  9. Remain current with and ensure billing processes are following agency billing policies. Remain current with ICD-10, CPT, and HCPCS codes and users.
  10. Make recommendations to the Billing Manager for problem resolution and identification of erroneous processes on the front end of the billing cycle and encounters.
  11. Assist Supportive Health Services Director in developing and maintaining custom reports for ROMA/CSBG within Clarity HMIS.
  12. Extract data from dental EHR to produce reports, summary statistics, and monitor quality.
  13. Study Uniform Data System manual, attend webinars, and research workflows to fully understand UDS needs. Review and optimize VisAnalytics reporting tool. Routinely monitor data in medical/behavioral health and dental EHRs to provide mid-year updates on UDS performance. Pull all clinical data, investigate anomalies, and aggregate data across systems to complete annual UDS in a timely manner. Provide insight to various committees on UDS needs.
  14. Maintain confidentiality of records and communications following HIPAA privacy and security policies and procedures.  
  15. Participate in ongoing employee development and training including Relias/The Guard.
  16. Maintain a positive and professional attitude, striving to openly communicate with             co-workers and patients, breaking down communication barriers when necessary.
  17. As a CAPWN team member, dedicate your energy to providing high quality, value-added customer service and care to our clients.   Embrace the CAPWN Code of Conduct, practicing integrity, strong communication and respect for leaders and peers.  Engage with the team and commit to improving and nurturing the health and well-being of the Western Nebraska Communities we serve.  
  18. Perform other duties as assigned.


Requirements

Working Conditions:

  • Eligible to work from home providing employee meets requirements and home office meets privacy and security requirements.  Will require onsite appearances.
  • Work requires ability to meet tight timelines.
  • Work in a program in a constant state of change with many interruptions and interactions.
  • Must be able to work irregular hours, some weekends and evenings and out-of-town training.

Physical Requirements:

  • Ability to use standard office machines and keyboards.
  • Substantial movement of wrists, hands and fingers.
  • Close visual acuity and extensive reading required.  
  • Sedentary work; some duties may involve moving and lifting up to 20 pounds.  
  • Ability to bend, stoop, and squat.

Minimum Qualifications:

Grade: 13

  1. Associates degree with experience in developing, maintaining, and generating reports and experience with data entry; or three years’ experience in computer software use, data management, preferably in a health clinic setting.
  2. Proficiency in Excel required. Proficiency with lookups across multiple tables preferred
  3. Be a self-starter and comfortable handling multiple tasks simultaneously
  4. Time management skills, able to meet deadlines, ensure high level of data accuracy in reporting.
  5. Valid driver’s license

Job Information

  • Job ID: 67122035
  • Workplace Type: On-Site
  • Location:
    Gering, Nebraska, United States
  • Company Name For Job: Community Action Partnership of Western Nebraska
  • Position Title: Billing and Clinic Data Analyst
  • Job Function: Billing / Coding / Revenue Cycle

Please refer to the company's website or job descriptions to learn more about them.

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