Pay Range:

Pay Range:$36.46 - $51.29 This position functions within the SEARHC Community Wellness Department. This position will collaborate with other SEARHC departments and strategic partners to improve patient access to comprehensive prevention and healthcare services. This would include, but not limited to, coordination of program activities, documentation of services, eligibility screening, reimbursement for services using grant funds, and expansion of services.
The purpose of this position is to oversee the data collection, management, analysis, and reporting functions needed to support regulatory, quality, and strategic healthcare services for the Community Wellness Department and WISEWOMAN Women’s Health Program. Data accuracy, reliability, and consistency are vital to monitoring and improving patient care at SEARHC, and to meeting Community Wellness grant and program requirements.

Shift Details

• M-F 8-5

Key Essential Functions and Accountabilities of the Job

• Oversee the preparation and submission of all required, regulatory, and quality improvement data reports for various external and internal stakeholders such as CDC, HHS, NIH, IHS, HRSA, as well as the senior management team.

• Lead analyses of clinical, quality, and service provision data to support operational and strategic needs.

• Support the development and maintenance of dashboards and ad-hoc reporting.

• Work with partners at CDC, ANTHC, and across the State to enhance data reporting and utility.

• Attend required and relevant reporting entity meetings and trainings.

• Train and mentor the junior members of the Data & Analytics Team, as directed by Community Wellness Nurse Manager

• Obtains and compares data from multiple sources and reviews for discrepancies using various applications

• Performs quality assurance and validation tasks

• Provides education to patient revenue generating departments to ensure compliant charging and coding practices for the Community Wellness Department

• Collaborate with Patient Financial Services, Patient Access and Community Wellness Departments to develop and support workflows

• Review provider documentation to ensure reimbursement for services

• Reviews requests from other departments related to coding and charge capture

• Provides guidance, communicates, and serves as subject matter expert for assigned service line related to the billing process, and other related subjects related to Community Wellness charges.

• Collaborate within cross-functional teams.

• Complete data entry and analysis for a lengthy amount of time.

• Work on different projects simultaneously, in a fast-paced setting with overlapping commitments and deadlines

• Assist the Community Wellness Department in achieving grant requirements and goals.

• Occasional travel is required.

• Performs other duties as assigned, including special projects deemed necessary to meet grant guidelines.

Education and Experience Requirements

• Bachelor’s degree or equivalent years of relevant experience in data analytics, health information management, health science, accounting, data entry, or a related field

• Grant experience preferred

• Four years or more of experience working with data analysis and reporting, along with the healthcare revenue cycle preferred

• Certified Professional Coder (CPC) or similar certification

Knowledge, Skills & Abilities

Knowledge of:

• Electronic health records

• Handling of PHI

• Customer service principles

• Processes to submit charges for grant expenses

• Inpatient and outpatient billing processes

• Payor remittances and CPT’s, HCPCS, and Revenue Codes

• Major insurance companies' billing policies to ensure compliance with state and federal laws

• Reconciling and balancing of payments received

• Medical terminology

Ability to:

• Delegate work

• Manage multiple priorities

• Multi-task

• Utilize organizational skills and time management

• Work autonomously

• Be self-motivated

• Ability to reassess priorities throughout the work shift and adapt as necessary

• Able to successfully communicate both verbally and written

• Ability to analyze, problem-solve, troubleshoot challenges

• Occasional travel, as needed

Skills:

• Advanced computer skills, including proficiency in leveraging Excel and database applications for analysis, modeling, and performance improvement reporting and monitoring

• Strong analytical skills

• Excellent organizational skills

• Assessment, anticipation of needs, and data collection

• Electronic health records programs and data tracking software (Cerner/Meditech)

• Excel spreadsheets

• Outlook SharePoint

• OneDrive

• MS Teams

• MS Office Suite

Required Certifications: