EHR RCM Consultant

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  • Sewickley, PA
  • Permanent
  • Full-time
  • 2 months ago
Job Title: EHR RCM Consultant
Location: Remote
Pay: Commensurate With Experience
Key Responsibilities: * EHR System Implementation and Optimization:
  • Assess healthcare organizations' current EHR systems and revenue cycle processes.
  • Lead or support the implementation of EHR software and workflows, ensuring smooth integration with existing systems.
  • Provide technical support during system go-lives and monitor for system performance issues.
  • Recommend process improvements related to EHR workflows to ensure efficient, error-free patient data management.
  • Revenue Cycle Management Integration:
  • Ensure EHR systems are fully integrated with revenue cycle management processes, from patient registration through billing and collection.
  • Work closely with finance, billing, and coding departments to align system capabilities with billing and reimbursement standards.
  • Analyze and provide solutions for issues related to claims processing, payment cycles, and insurance reimbursements.
  • Support the development and implementation of automated processes to improve efficiency and reduce denials.
  • Training and Support:
  • Develop training materials and conduct training sessions for healthcare providers, clinical staff, and administrative staff on EHR and RCM system usage.
  • Offer ongoing support and troubleshooting assistance for users experiencing technical issues.
  • Ensure that staff are properly trained on documentation standards and coding processes to avoid billing errors.
  • Compliance and Best Practices:
  • Ensure that EHR systems comply with healthcare regulations, including HIPAA, ICD-10, and other relevant standards.
  • Stay updated on industry trends, regulations, and best practices related to EHR and RCM, ensuring the organization is always in compliance.
  • Assist with audits and address any discrepancies identified in billing or coding.
  • Process Improvement and Reporting:
  • Analyze and recommend strategies for improving revenue cycle efficiency, including reducing claims denials and improving payment accuracy.
  • Develop and maintain reports to track revenue cycle KPIs (Key Performance Indicators) and EHR performance metrics.
  • Provide recommendations to optimize workflows, reduce bottlenecks, and improve patient billing experiences.
  • Collaboration and Communication:
  • Act as a liaison between IT, healthcare providers, billing departments, and management to ensure the seamless operation of both EHR and RCM processes.
  • Facilitate communication between clinical and administrative teams to ensure timely and accurate documentation, coding, and billing.
  • Provide insights and recommendations to senior management on the status and effectiveness of EHR and RCM systems.
Qualifications:
  • Education:
  • Bachelor's degree Healthcare Administration, IT, or a related field (preferred)
  • Experience:
  • At least 3-5 years of experience working with EHR systems, revenue cycle management, or healthcare consulting.
Strong experience with EHR software solutions ( myAvatar or myEvolv Netsmart solutions preferred)
Experience with healthcare billing, coding (ICD-10, CPT, HCPCS), and insurance reimbursement procedures.
  • Certifications:
  • Certified Professional in Healthcare Information and Management Systems (CPHIMS) or Certified Revenue Cycle Professional (CRCP) preferred.
  • Other certifications like Certified Healthcare Financial Professional (CHFP) are a plus.
Skills:
  • Strong knowledge of EHR systems and healthcare revenue cycle processes.
  • Excellent problem-solving and analytical skills.
  • Strong communication skills, both written and verbal.
  • Ability to work collaboratively with cross-functional teams.
  • Proficiency in using healthcare management software, Microsoft Office, and data analytics tools.
Work Environment:
  • Remote
  • Ability to work in a fast-paced, client-facing environment.
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