Netsmart RCM Consultant
Enkompas
Job Title: Netsmart RCM (Revenue Cycle Management) Consultant
Location: Remote
Pay: Commensurate With Experience; Full and Part-time Opportunities Available Key Responsibilities:
Experience with healthcare billing, coding (ICD-10, CPT, HCPCS), and insurance reimbursement procedures.
Location: Remote
Pay: Commensurate With Experience; Full and Part-time Opportunities Available Key Responsibilities:
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
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.
- 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.
- Remote
Vacancy posted 19 hours ago
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