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Netsmart RCM Consultant

enkompas Technology Solutions
  • Sewickley, PA
  • Remote
  • Quick Apply
30+ days ago

Job Description


Job Title:Netsmart RCM (Revenue Cycle Management) Consultant
Location: Remote
Pay: Commensurate With Experience; Full and Part-time Opportunities Available

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
INDSEA1

Numbers & Facts

LocationSewickley, PA (
Remote
)
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Skills

  • Analysis Skillsunmatched
  • Best Practicesunmatched
  • Billingunmatched
  • Claims Processingunmatched
  • Communication Skillsunmatched
  • Consultingunmatched
  • Credit and Collectionsunmatched
  • Cross-Functionalunmatched
  • Current Procedural Terminology (CPT)unmatched
  • Data Analysisunmatched
  • Data Managementunmatched
  • Documentationunmatched
  • Documentation Standardsunmatched
  • Financeunmatched
  • Financial Analysisunmatched
  • Financial Servicesunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Health Information Managementunmatched
  • Health Information Technologyunmatched
  • Healthcareunmatched
  • Healthcare Administrationunmatched
  • Healthcare Common Procedure Coding System (HCPCS)unmatched
  • Healthcare Providersunmatched
  • Healthcare Softwareunmatched
  • ICD-10unmatched
  • Identify Issuesunmatched
  • Industry/Trade Analysisunmatched
  • Insuranceunmatched
  • Management Consultingunmatched
  • Medical Billingunmatched
  • Medical Codingunmatched
  • Medical Record Systemunmatched
  • Microsoft Officeunmatched
  • Patient Careunmatched
  • Patient Registrationunmatched
  • Payment Processingunmatched
  • Performance Analysisunmatched
  • Performance Metricsunmatched
  • Presentation/Verbal Skillsunmatched
  • Problem Solving Skillsunmatched
  • Process Improvementunmatched
  • Regulationsunmatched
  • Reimbursementunmatched
  • Revenue Managementunmatched
  • Revenue/Sales Reportingunmatched
  • Staff Trainingunmatched
  • Strategic Analysisunmatched
  • Team Playerunmatched
  • Technical Supportunmatched
  • Time Managementunmatched
  • Training/Teachingunmatched
  • Writing Skillsunmatched

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