Clinical Informaticist, Clinically Driven Revenue Cycle (CI, CDRC), directly supports clinical and revenue cycle staff in determining system requirements, adapting clinical and revenue cycle workflows to adopt technology, understanding system functionality required to support and improve revenue cycle process including, but not limited to, preregistration and scheduling, financial clearance, registration, coding, revenue integrity, and charge capture.
The CI, CDRC role requires interacting and understanding clinical processes and revenue cycle processes, understanding system functionality, understanding new features and functions introduced in new software releases, identifying and improving processes to allow capturing of all charges for services being provided, identifying testing requirements for new functionality and regression testing requirements of existing functionality, educating and communicating with staff regarding processes, auditing and reporting outcomes of the processes, and utilizing all internal and external resources in order to accomplish and sustain improvements.
• Identifies opportunities to leverage technology to improve clinical and revenue cycle opportunities. Leads the development of policies and procedures and provides guidance on EMR best practices to various Process Improvement committees in UMC for the optimal usage of Clinical Information Systems.
• Provides expert guidance to EHR teams on system optimization, change management, standardized processes and workflows for a successful post implementation operation. This role requires an ability to build and maintain relationships with client and project
• Supports departmental (nursing, ancillary, and revenue cycle) educational functions in training staff on clinically driven revenue cycle processes and requires a detailed knowledge of the electronic health record and the ability to analyze processes/systems as they impact the organizations’ strategic initiatives and patient experience.
• Ensures compliance with regulatory standards as they apply to departmental systems.
• Remains abreast of trends and developments in HIT, advancements in care delivery, reimbursement models and uses this knowledge to develop EHR roadmap and to align the roadmap with UMC strategic plan.
• Assists in the development and maintenance of long-term strategic applications planning for the EHR for the area of responsibility to achieve strategic outcomes for the implementation.
• Adheres to all Security Standards as set forth by the organization and National guidelines.
• Additional tasks/responsibilities as defined.
Education & Training: Bachelor’s Degree – BSN or other clinical degree preferred
Experience: Understanding of clinical and revenue cycle operations and workflows within a healthcare system is required.
5+ years of prior experience in a healthcare environment supporting revenue cycle and / or clinical operations is required.
Cerner implementation and/or support experience preferred.
License & Certification: None