EPIC Systems Analyst – Contract Management

EPIC Systems Analyst – Contract Management

Job Category:
Professional

Schedule:

Full time

Shift: 1 - Day Shift

Provides functional-level support to contracts in the use of an EPIC system. Builds, maintains updates, and/or interprets reimbursement contracts for hospital billings. Formulates and defines system scope and objectives through research and fact-finding combined with an understanding of applicable IT systems and industry requirements.

• Aligns work to organizational objectives.
• Creates and communicates status reports in accordance with departmental standards.
• Updates documentation consistently, following departmental policies and procedures.
• Builds payer / plan-specific contract terms, including common reimbursement methodologies and how to customize.
• Tests contract builds and troubleshoots.
• Re-adjudicates past claims based on updates to old contracts.
• Identifies solutions to complex clinical or business directives or implementation impediments.
• Provides consultative services to customers and technologists as to the workflow processes and incorporation of technology solutions.
• Solves production and maintenance problems, documents processes and creates action plans delineating steps and procedures. Analyzes tasks and problems and determines the most efficient and cost-effective method of accomplishing defined requirements within a scheduled deadline. Implements and modifies test plans for information technology systems including unit and system testing.
• Executes comprehensive testing plans to verify critical clinical or business outputs and system integrity.
• Prepares SOWs that are complete and clearly understood, while appropriately setting customer expectations.
• Documents and prioritizes issues with vendor; stays current with vendor trends, strategic plans and technology.
• Schedules loading bundles and fixes with vendor, systems group and customers.
• Examines techniques in use and determining appropriate changes to effect improvements, reduce costs and enhance internal operational business processes.
• Demonstrates ongoing dedication to expanding clinical or business expertise and applies new skills and knowledge to TMC situations.
• Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.
• Performs related duties as assigned.

EDUCATION: Bachelor's degree or an equivalent combination of relevant education and experience.

EXPERIENCE: Three (3) years of clinical or business system analyst or operational experience with EMR technology. EPIC application experience preferred.

LICENSURE OR CERTIFICATION: Must have or obtain EPIC certification in one or more relevant products or solutions within one (1) year. Resolute Hospital Billing Reimbursement Contracts Administration EPIC certification preferred.

• Knowledge of system analysis and operating systems preferably used in a hospital setting.
• Skill in assessing needs and determining through documentation the best approach system design and issues resolution.
• Skill at problem definition and data collection by establishing facts and drawing valid conclusions.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.