Revenue Cycle Clinical Informatics Specialist BHS at Beacon Health System – Granger, Indiana

The Revenue Cycle Informatics Specialist reports to the Manager of Clinical Informatics and serves as a subject matter expert in IS for acute and ambulatory patient access, coding, HIM, charge capture, and patient accounting workflows. This role requires advanced knowledge of information systems and their application to healthcare operations, as well as a strong understanding of their impact on clinical workflows. The Specialist applies industry best practices to the management and development of revenue cycle and scheduling systems across the full system life cycle, helping to guide strategic direction that supports financial integrity, patient access, operational efficiency, and regulatory compliance in both acute and ambulatory settings.

This role is responsible for the design, testing, optimization, and training of systems supporting revenue cycle stakeholders and the Information Systems department. The Specialist conducts quality assurance and performance improvement initiatives while ensuring ongoing system data integrity for revenue cycle and scheduling applications. Strong Change Management and Change Control practices are essential to successfully implement system updates, minimize risk, and support continuous improvement across the organization.

MISSION, VALUES and SERVICE GOALS

• MISSION: We deliver outstanding care, inspire health, and connect with heart.
• VALUES: Trust. Respect. Integrity. Compassion.
• SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.

Assumes responsibility for the coordination of assigned Beacon software system applications both during implementation and maintenance phases by:

• Planning, implementation, and optimization of revenue cycle and patient access including scheduling and registration, coding, HIM, and Charge Services workflows.
• Recommending new policies and procedures to enhance the Beacon Revenue Cycle & Patient Access information system build and workflow processes
• Translate operational requirements into system design and optimization.
• Assist with ongoing data maintenance and the establishment of guidelines for ongoing data maintenance of designated Beacon Revenue Cycle & Patient Access systems.
• Monitor data integrity, charge accuracy, and compliance
• Partner with IS analysts and operational leaders to resolve system issues
• Support training initiatives, workflow creation, and adoption of workflows.
• Maintaining current knowledge of Revenue Cycle, Patient Access and Scheduling, educational developments, trends and techniques relevant to own department to enhance communications and understanding of department needs.

Troubleshoots, documents and resolves problems with the assigned application software programs by:

• Analyzing reported or anticipated problems related involving the assigned software application.
• Documenting problems and ongoing actions toward resolution in the appropriate documentation venues.
• Facilitating the timely delivery of solutions which meet both clinical and Information System needs.
• Monitoring data and reports to ensure the integrity and accuracy of data.
• Collaborating with IS analysts and clinical resources in identifying resolutions.

Provides initial and ongoing training to end users on the use of assigned Beacon revenue cycle software systems by:

• Acting as a liaison and facilitator with end users and/or end user educators throughout the implementation of new Beacon clinical systems.
• Instructing educators or end users on use of software and procedures; also providing training scenarios and evaluating results.
• Recommending and providing remedial training for associates if necessary.
• Providing support to department staff during scheduled and unscheduled IS downtime or interruption of service.

Conducts testing and performance improvement activities related to assigned software programs by:

• Creating life-like test scripts and scenarios, inputting to the computer and verifying test results.
• Assisting with the testing of system functionality, as well as assisting with the validation of database integrity.
• Coordinating and engaging in performance improvement activities with Beacon's performance improvement and clinical departments.

• Providing data collection and analysis of clinical documentation and proposing changes were needed to promote improved patient safety and staff performance.
• Providing reports to clinical or Information System leadership as required.
• When applicable, assists with integrating compliance standards into the Beacon's revenue cycle & scheduling software.
• If applicable, documenting all IS related systems development and maintenance to meet regulatory requirements.

Maintains professional knowledge, skills, and competence in areas of responsibility by:

• Attending training and department meetings; also participating in continuing education and attending conferences as approved.
• Maintaining professional affiliations and memberships in related organizations, as appropriate.
• Reading current professional literature, publications, and journals.

Contributes to the overall effectiveness and efficiency of the department and the implementation and maintenance of Beacon clinical software systems by:

• Maintaining up-to-date knowledge regarding the clinical-related day-to-day operations.
• Maintaining records, reports and files as required.
• Completing other job-related functions and work assignments, as directed, within the appropriate timeframe. Also communicating with the Director about any concerns regarding timeframes and workload.

ORGANIZATIONAL RESPONSIBILITIES

Associate complies with the following organizational requirements:

• Attends and participates in department meetings and is accountable for all information shared.
• Completes mandatory education, annual competencies and department specific education within established timeframes.
• Completes annual employee health requirements within established timeframes.
• Maintains license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
• Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
• Adheres to regulatory agency requirements, survey process and compliance.
• Complies with established organization and department policies.
• Available to work overtime in addition to working additional or other shifts and schedules when required.

Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:

• Leverage innovation everywhere.
• Cultivate human talent.
• Embrace performance improvement.
• Build greatness through accountability.
• Use information to improve and advance.
• Communicate clearly and continuously.

Education and Experience

• Associate or Bachelor’s degree required; healthcare, business, or informatics preferred.
• • 3–5 years of experience in revenue cycle, patient access, scheduling, coding, or healthcare informatics.

Knowledge & Skills

• Demonstrates strong of acute and ambulatory revenue cycle workflows. Also requires a solid understanding of user department processes and procedural changes and how Beacon departments interact with each other in a computerized environment.
• Requires the technical computer skills and knowledge necessary to effectively use and support various software and hardware. Also demonstrates a working knowledge of database applications and the skills needed to assist with testing plans and data.
• Demonstrates a successful record of being a team player and completing project-related work assignments (especially project implementation).
• Requires advanced analytical and problem solving skills and the ability to identify problems and deliver solutions in a timely and efficient manner.
• Demonstrates the interpersonal and communication skills (both verbal and written) necessary to communicate effectively with the associates at all levels. Also requires the ability to provide effective training.
• Requires organization skills and the ability to work independently as assigned, prioritize workload and handle a variety of multiple and overlapping functions within set deadlines.
• Demonstrates the leadership skills necessary to elicit cooperation and support from other associates.

Working Conditions

• Works in an office/clinical environment.
• May need to vary days and hours scheduled, including working evenings and/or weekends as determined by department need.
• Must be able to be effective in a fast-paced, quality focused, multi-priority environment that frequently deals with stressful situations and important deadlines and schedules.

Physical Demands

• Requires the physical ability and stamina (i.e., sit, stand and/or walk for prolonged periods of time, etc.) to perform the essential functions of the position.