Netsmart RCM Consultant

Netsmart RCM (Revenue Cycle Management) Consultant

Key Responsibilities:

1. EHR System Implementation and Optimization:
   • Assess healthcare organizations' current Netsmart EHR systems and revenue cycle processes.
   • Lead or support the implementation of EHR software and workflows, ensuring smooth integration with existing systems.
   • Provide technical support during system go-lives and monitor for system performance issues.
   • Recommend process improvements related to EHR workflows to ensure efficient, error-free patient data management.
2. Revenue Cycle Management Integration:
   • Ensure Netsmart EHR systems are fully integrated with revenue cycle management processes, from patient registration through billing and collection.
   • Work closely with finance, billing, and coding departments to align system capabilities with billing and reimbursement standards.
   • Analyze and provide solutions for issues related to claims processing, payment cycles, and insurance reimbursements.
   • Support the development and implementation of automated processes to improve efficiency and reduce denials.
3. Training and Support:
   • Develop training materials and conduct training sessions for healthcare providers, clinical staff, and administrative staff on Netsmart EHR and RCM system usage.
   • Offer ongoing support and troubleshooting assistance for users experiencing technical issues.
   • Ensure that staff are properly trained on documentation standards and coding processes to avoid billing errors.
4. Compliance and Best Practices:
   • Ensure that Netsmart EHR systems comply with healthcare regulations, including HIPAA, ICD-10, and other relevant standards.
   • Stay updated on industry trends, regulations, and best practices related to EHR and RCM, ensuring the organization is always in compliance.
   • Assist with audits and address any discrepancies identified in billing or coding.
5. Process Improvement and Reporting:
   • Analyze and recommend strategies for improving revenue cycle efficiency, including reducing claims denials and improving payment accuracy.
   • Develop and maintain reports to track revenue cycle KPIs (Key Performance Indicators) and EHR performance metrics.
   • Provide recommendations to optimize workflows, reduce bottlenecks, and improve patient billing experiences.
6. Collaboration and Communication:
   • Act as a liaison between IT, healthcare providers, billing departments, and management to ensure the seamless operation of both EHR and RCM processes.
   • Facilitate communication between clinical and administrative teams to ensure timely and accurate documentation, coding, and billing.
   • Provide insights and recommendations to senior management on the status and effectiveness of EHR and RCM systems.

Qualifications:

• Education:
  • Bachelor's degree Healthcare Administration, IT, or a related field (preferred)
• Experience:
  • At least 3-5 years of experience working with Netsmart EHR systems, revenue cycle management, or healthcare consulting.

Strong experience with Netsmart EHR software solutions (myAvatar or myEvolv) Experience with healthcare billing, coding (ICD-10, CPT, HCPCS), and insurance reimbursement procedures.

• Certifications:
  • Certified Professional in Healthcare Information and Management Systems (CPHIMS) or Certified Revenue Cycle Professional (CRCP) preferred.
  • Other certifications like Certified Healthcare Financial Professional (CHFP) are a plus.

Skills:

• Strong knowledge of EHR systems and healthcare revenue cycle processes.
• Excellent problem-solving and analytical skills.
• Strong communication skills, both written and verbal.
• Ability to work collaboratively with cross-functional teams.
• Proficiency in using healthcare management software, Microsoft Office, and data analytics tools.

Work Environment:

• Remote

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