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System Specialist RN Revenue Cycle PPG

Company: Cleveland Clinic
Location: Akron
Posted on: May 15, 2022

Job Description:

  • Acts as a liaison between the Clinical and Clerical sides of PPG IT Services
  • Works closely with various PPG practices and Administration, outside billing service and software vendor, and hospital departments as applications system coordinator for the PPG practices revenue cycle.
  • Functions as the liaison between the business units and the clinical community (e.g. physicians, nursing, ancillary) to acquire data for the Ambulatory Electronic Medical Record (AEMR) system. Serves as a single point of contact for AEMR support for the clinical staff.
  • Maintains the revenue cycle systems project log and tracks, coordinates and communicates updates to the Director, Revenue Cycle and Directors of Practice Operations.
  • Assists with the interfaces from various systems to ensure routine processing and maintenance and continued development of the revenue cycle systems, including addition of new entities, departments and accounts, development of customized reports, and changes in reporting structures.
  • Develops and maintains documentation for the PPG and Administrative Billing systems. Collaborates with others in the development and administration of initial and on-going in-house training of revenue cycle and practice staff as well as peripheral users for the systems.
  • Provides application support and acts as liaison between Revenue Cycle and Information Systems technical staff. Coordinates with Information Systems technical staff regarding security for various systems.
  • Coordinates activities among Information Systems, revenue cycle departments, and outside software vendor and billing service in implementing necessary changes in a timely and accurate manner.
  • Monitors interfaces and appropriately notifies responsible Information Systems staff when problems arise.
  • Assists in the development of operating procedures that ensure efficient implementation and use of the system. Initiates, writes, and evaluates system documentation.
  • Develops system updates and ensures compliance with departmental training programs on a continual basis. Assists with updating processes due to new technology.
  • Interacts with other system entities in matters related to PPG revenue cycle systems. Coordinates and assists with data requests to monitor A/R.
  • Ensures coordination to other clinical systems.
  • Coordinates the development of various databases and tables contained in the practice management system for new practices to ensure coordination of department procedures with systems functions. Establishes various accounts and access to multiple systems for new practices.
  • Attends necessary educational sessions to become proficient in knowledge and utilization of the system. Maintains annual mandatory training requirements for both Clinical and Clerical systems.
  • Assists the Director/Manager, Revenue Cycle and Manager, Front-End Operations in automating manual processes to increase productivity throughout the department and practices through the creation of new reports, programs or other system enhancements that will improve efficiency. Monitors denials and backlogged data and follows up appropriately.
  • Completes nursing informatics and other special projects as assigned.
  • Follows hospital and department policies and procedures with special attention to attendance and punctuality, confidentiality, dress code and display of ID badge, and safety.
  • Other duties as assignedEducation:
    • Graduate of an accredited school of nursing. Bachelor's degree preferred. Coursework in information technology or technical training preferred.Certifications:
      • Licensed as a registered nurse in the State of Ohio.
      • For Information Technology Division caregivers, ITIL Foundations certification is required within 6 months of position start date.Complexity of Work:
        • Proficient with Microsoft Office software applications and clinical applications. Ability to translate clinical needs into system functionality. Project leadership skills and the ability to work collaboratively with members of the health care team and consultants. Effective verbal and written communication skills. Ability to present information to groups and provide individual instruction.Work Experience:
          • Three years relevant clinical work experience required. Experience with McKesson Horizon Clinical Software (Care Manager/Horizon Expert Documentation/Horizon Ambulatory Care) or previous experience implementing electronic medical record systems preferred.Physical Requirements:Personal Protective Equipment:
            • Follows standard precautions using personal protective equipment as required
              Under the direct supervision of the Manager of PPG Information Technology Services, the System Specialist RN Revenue Cycle PPG is responsible for the process, design, implementation, testing, training, and on-going support of the Electronic Medical Records (EMR) system for both clinical and clerical EMR functions. Will implement system changes to improve the overall operations of the revenue cycle by improving accurate processing of registration, coding, billing, cash posting and accurate collection of reimbursement to ensure consistent cash flows for PPG and other associated entities.

Keywords: Cleveland Clinic, Akron , System Specialist RN Revenue Cycle PPG, Healthcare , Akron, Ohio

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