Healthcare Application Analyst II/III – Revenue Cycle – Hybrid

Essential Functions

• Analyzes, plans, organizes, coordinates, implements and installs systems and related application software in assigned areas; coordinates applicable and responsible hospital resources during the installation and upgrade processes.
• Provides HIS and reporting expertise to address information needs relevant to hospital management and HIS users.
• Maintains comprehension of current hospital pre-admission, admission, outpatient registration, coding and patient processing practices and procedures.
• Ensures that all application software updates and fixes are installed, tested and implemented in a timely manner through software support tools for the assigned area based systems.
• Assumes primary responsibility for troubleshooting, documenting, reporting and resolving application problems of assigned applications and systems and serves as the liaison between hospital users and appropriate vendor support personnel when additional product expertise is required.
• Coordinates the assessment and development of the needs and requirements of an integrated hospital information system and reporting mechanism in collaboration with hospital user departments and available hospital systems and tools, e.g. Structured Query Language (SQL) ODBC, and CCL.
• Monitors installation, upgrade and work order progress and costs.
• Communicates and coordinates activities with the IT Applications Manager and staff concerning work priorities and project deadlines.
• Develops criteria for ensuring data base integrity and maintains system security.
• Monitors and addresses all data integrity, validity, and security issues and develops recommendations to resolve these issues.
• Provides ongoing training, guidance and support to the assigned application users in the hospital environment; educates users to the capability of the applications for more efficient use of the computer information systems.
• Interacts with other HIS analysts to ensure effective integration of source systems, imaging, interface management tools, data repository systems, and with decision support applications to fully respond to reporting requirements according to assigned responsibilities.
• Coordinates with other HIS staff to ensure proper utilization, availability and operations of the assigned HIS areas of interface engine and data repository, decision support, financial and related systems; monitors hardware resource use to ensure adequate equipment levels.
• Keeps current of developments in computerized hospital information systems, tools (CCL, Discern Visual Developer, DA2, security, spreadsheets, SQL, HL7, etc.) regulatory requirements and hospital data needs and requirements.
• Develops and promotes working relationships with clinicians, revenue cycle, and ancillary staffs to assist understanding and develop solutions to their information systems needs.
• Ensures that adequate documentation exists for using and maintaining user developed and vendor provided HIS, financial and related systems applications, processes, reports, and routines.
• Orients hospital personnel to the HIS, decision support, financial, clinical and related systems and their impact on hospital operations.
• Develops, leads and participates in applicable internal HIS user groups to cultivate information sharing, user feedback for system enhancements, and reports coordination.
• Recognizes and identifies the need for the modification and development of policies and procedures.
• Level III only: Serves as a lead to include assigning and monitoring work, training employees on work methods, and providing direction; may supervise staff which may include collaborating with management on performance related matters.
• Assists in mentoring, training, and development of other Patient Access staff; serves as a resource to staff for questions and problem solving.

Option II: Clinical Support Systems

• Provides hospital-based data Clinical Support Systems expertise to address information needs relevant to hospital management and physicians to develop complex reports and databases through decision support applications and applets, report writing tools, spreadsheet software, statistical reporting tools, database systems and user training.
• Works closely with physicians, and clinical staff to understand their data reporting needs in order to translate them into readily available information through the applicable systems and user training.
• Works closely with and guides the users and HIS staff in planning and implementing tables, parameters, and master files to guarantee proper classification of patients and patient data for reporting, analysis, billing, and statistical purposes.
• Provides HIS representatives support, project management and ongoing expertise in the implementation of EMRs, Clinical Decision support systems, and clinical systems.
• Keeps current with ICD9 coding, CPT4 coding, AP-DRG coding, JCAHO requirements, ORYX reporting and other government and regulatory reporting and coding requirements affecting patient data coding, collection and reporting.
• Keeps current on industry trends and developments related to clinical automated systems and process

Option III: Financial Systems

• Provides financial system and reporting expertise to address information needs relevant to hospital management and Financial System users.
• Stays current with applicable federal and state regulations to monitor and implement regulatory changes under Medi-Cal, Medicare, HIPAA, Champus and other government medical insurance programs.
• Provides knowledge and guidance to users to implement processes and procedures related to hospital-based budget and cost accounting functions and used with Decision Support systems.
• Keeps current with ICD9 coding, CPT4 coding, AP-DRG coding, HIPAA, TJA requirements, ORYX reporting and other government and regulatory reporting and coding requirements affecting patient data coding and reporting.
• Provides guidance to the users of the financial applications in the use of the tables, parameters and master files related to all financial applications, specifically human resources, hospital-based budget and cost accounting functions, general ledger, claim processing parameters and Service Item Master and Financial Item Master tables to ensure an accurate financial data reporting and billing system.
• Maintains an understanding of installed non-financial applications and how they interact with the financial applications.
• Provides guidance to the various users of HIS applications and applications interacting with other non-KMC systems through direct interface or Electronic Data Interchanges (EDI).