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**Req Number** 172657

Job Description

Partners, supports, and facilitates vital healthcare revenue cycle projects. Assists with management of project plans, research and analysis. Coordinates implementation of project plans and evaluates outcomes. This role is instrumental in ensuring claims are accurately prepared and edited within Epic before submission to payers, thereby minimizing denials, improving clean claim rates, and optimizing revenue. The Analyst assists with project planning, research, and analysis related to claims management and billing workflows, ensuring initiatives meet their strategic objectives and timelines.

Job Responsibility

+ Assists the project initiation process by creating project timetables and tracking execution and workflow related to revenue cycle initiatives, specifically claim editing, work queue management, and denial prevention.

+ Aids the preparation of project status reports, highlighting key metrics related to claims accuracy, edit volumes, and potential denial impact.

+ Coordinates with Epic users and other billing/coding teams to optimize claim editing processes and ensure adherence to payer-specific guidelines.

+ Manages and prioritizes work queues within Epic to identify and correct claims flagged for edits, ensuring clean claim submission.

+ Assists the project initiation process by creating project timetables and tracking execution and workflow.

+ Aids the preparation of project status reports.

+ Assists internal and external groups to optimize success of project deployment.

+ Participates in communication with user departments and project teams on project activities.

+ Assists the management to develop tools and metrics to evaluate performance of target initiatives.

+ Helps in driving risk management process improvements, efficiencies and workflow enhancements.

+ Assists in the development and maintains department policies and procedures.

+ Operates with direct guidance and work assignments are generally straightforward and of moderate complexity.

+ Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

+ Bachelor's Degree required, or equivalent combination of education and related experience. Preferably in Healthcare Administration, Business, Finance, or a related field, or equivalent combination of education and related experience

+ 0-1 years of relevant experience, required.

Preferred Qualifications:

+ Demonstrated understanding of the healthcare revenue cycle, claim lifecycle, and denial prevention strategies.

+ Proficiency with Epic EMR, specifically with claims work queues and billing modules.

+ Understanding of payer guidelines and regulations (e.g., Medicare, Medicaid, commercial payers).

+ Exceptional attention to detail and analytical skills to identify claim errors and root causes of potential denials.

+ Strong communication and interpersonal skills to collaborate effectively with billing, coding, and clinical teams.

+ Ability to manage multiple tasks, prioritize, and meet deadlines in a fast-paced environment

+ Certified Associate in Project Management (CAPM) certification, or actively pursuing.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

The salary range for this position is $64,350-$86,060/year

It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.