COMPASS - DATA ANALYST II, Enterprise Chargemaster

Responsibilities

Compass is an enterprise-wide initiative to implement a single set of patient administrative systems and revenue cycle processes across the Partners HealthCare System. Compass will enable all of our entities to share common patient administrative information systems. Processes that will eventually fall under the Compass umbrella include: patient scheduling, registration, bed management, and inpatient and outpatient billing. Compass will transform, modernize, and significantly improve our administrative and financial performance. One of the critical components of our relationship with the selected system vendor is the relative immaturity of the product. As such, we have an obligation to dedicate significant resources to product development, market analysis, and revenue cycle technology innovation. The Service Catalog Analyst I will be part of a team of analysts supporting the Corporate Service Catalog and it associated master files within the Soarian suite of applications. The Service Catalog Analyst must possess a great deal of motivation and understand the balance between delivering high quality, flexible solutions in a fast paced, dynamic environment.

Principal Duties and Responsibilities

Updates and maintains enterprise Charge Description Master (CDM) supporting all PHS entities (AMC and community hospitals, physician office, SNF, LTAC, behavioral health).

Assists in mapping current charging and coding structures and processes in clinical departments to the enterprise CDM.

Assists in assessing the accuracy of all charging vehicles, including clinical systems and dictionaries, encounter forms and other charge documents.

Provides guidance, communication and education on correct charge capture, coding and billing processes to multiple clinical departments and facilities.

Analyzes changes to coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars and publications. Executes on work plans to adapt systems and processes to accommodate changes.

Work with other architects to ensure that all components work together to meet objectives and performance goals as defined in the requirements. Identify and communicate any cross-area or cross-release issues that may affect other areas of the project.

Support the development and test teams with the creation of test data.

Works independently, with minimal day-to day supervision.

Act as a change agent, facilitating Compass Change Management and Communication efforts:

- Advocates and evangelizes for the Compass program.

- Acts as the face and voice of Compass change management efforts. This may include facilitating meetings, conducting presentations, and one-on-one interactions with key constituents.

- Serves as the eyes and ears of Compass program management; proactively reports relevant information.

Qualifications

Three years experience in a hospital setting or within the healthcare industry required.

Understanding of the healthcare revenue cycle, specifically as it pertains to billing, coding and charge capture required.

Bachelors degree in finance or science or equivalent combination of education and experience.

Applicable clinical or professional certifications/licenses such as CPC-H or AHIMA-CCS are highly desirable.

Skills/Abilities/Competencies Required

Ability to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations.

Financial analysis application skills, including database development and report generation.

Advanced Excel and Access skills required.

Excellent organizational and project management skills.

Strong time management, attention to detail, and follow through.

Well-developed research skills.