Job Summary The Senior Revenue Cycle Architect will collaborate with multi-disciplinary teams to continuously analyze and enhance EMR workflows, aiming to improve operational efficiency across the WMCHealth Network.

Responsibilities:

• Promote revenue cycle improvements across the network by collaborating with Revenue Integrity, Health Information Management, Patient Accounts, and Patient Access.
• Perform and report ongoing trend analysis to ensure daily and monthly consistency in charge capture.
• Communicate across revenue cycle teams to maintain transparency regarding system changes, and new build implementation.
• Lead charge services initiatives, including training, design, and testing of new services lines and/or charge builds.
• Develop and implement tiering logic within CS Tier Maintenance to serve the needs of all facilities for both professional and technical charge capture.
• Establish and/or validate charge build within the CS Pricing Tool to assure build accurately generates charges based on tier, charge schedule and activity type.
• Troubleshoot and recover any potential missed revenue due to incorrect build or documentation errors.
• Work closely with Patient Accounting for resubmitting claims for corrected charges and/or upon suspended charge resolution.
• Evaluate current workflows for process improvement opportunities to maximize charge capture and ensure timely and accurate claims submission.
• Conduct meetings with clinical and revenue cycle teams to facilitate troubleshooting processes and improve inefficiencies.
• Serve as a revenue cycle representative on core project teams regarding implementation, upgrade, and optimization of network EMR systems.
• Provide status reports to revenue cycle leadership regarding ongoing projects.
• Collaborate with IT on routine revenue cycle build and maintenance.
• Perform troubleshooting audits through backend queries.
• Performs other duties as assigned.

Experience:

• Minimum of 3-5 years in healthcare revenue cycle related experience, preferred
• Creative thinking, problem solving, project management and data analytical skills
• Prior IT experience and strong knowledge of various EMR systems
• Advanced in Microsoft office suite applications

Education:

Bachelor's Degree

About Us:

NorthEast Provider Solutions Inc.

Benefits:

We offer a comprehensive compensation and benefits package that includes:

• Health Insurance
• Dental
• Vision
• Retirement Savings Plan
• Flexible Savings Account
• Paid Time Off
• Holidays
• Tuition Reimbursement