Catholic Health Initiatives
The EMPI/Data Integrity Specialist is responsible for implementation and support of national direction, policies, and strategies to create a high performing revenue cycle for CHI. This essential role is responsible for the optimization and expansion of EMPI operations according to established procedures and guidelines, and leading revenue cycle development and performance with business partners across the enterprise. This role will work extensively with CHI market leaders, business partners, and CHI National colleagues.
- Provide operational and subject matter expertise in order to create high performing revenue cycle for CHI:
- Implement and support the strategic plans, goals, objectives, and budgets for the CHI national revenue cycle that promote leading practices.
- Research and perform the care & maintenance of the EMPI according to established procedures and guidelines, validating patient identity as part of the Overlay, Duplicate, Linkage, or Review Identifier processes.
- Sustain seamless support of duplicate Medical Record Number ticket requests through timely processing, escalating as appropriate.
- Support leading practices; enhance and maintain properly functioning revenue cycle processes.
- Collaborate with physician enterprise revenue cycle on strategies, tactics, policy development, etc. to ensure consistency with overall CHI revenue cycle direction as appropriate.
- Lend expertise to governance forums with the intent to apply standard approaches and leading practices across all HIS systems and markets.
- Provide leadership and subject matter expertise across all components of the revenue cycle.
- Influence and collaboration with Teams:
- Provide hands-on expertise to CHI Revenue Cycle and its partners.
- Improve team performance by providing feedback, initiating peer support, and assisting in obstacle avoidance.
- Assume role as a change agent, handling assigned work and creating process methodologies, tools and techniques.
- Facilitate relationships and break down barriers in conjunction with CHI, MBO, IT, BI, preferred vendors, and Conifer.
- Track quantitative and qualitative measures tied to goals in order to meet objectives
- Applied Knowledge:
- Apply broad knowledge of health care financial functions and the individual configurations and procedures that exist in each market
- Apply system and process knowledge to optimize and tune on going performance in each market
- Study industry best practice to bring insight and fresh perspective to CHI’s approach to revenue cycle
- Partner with ITS to evaluate system upgrades and works with partners to effectively utilize new functionality available from the upgrade
- Support compliance and future regulations. Work with partners to apply regulations to the systems and procedures
- Influence policy and procedures with technical knowledge & system capabilities, supporting any revisions to CHI’s formal Policy and Procedures.
- Support the smooth transition of Revenue Cycle Management functions in CHI MBO acquisition and divestiture transactions as appropriate:
- Represent Revenue Cycle and provide input to the stakeholders during development of the transition plan.
- Facilitate and perform any assigned responsibilities from the transition plan.
Experience (required and preferred):
- At least 3 years directly related in the business areas of revenue cycle management or support in a hospital or ambulatory setting.
- Electronic Health Record technical or operational experience
- Strong financial and operational expertise.
- Must be a strategic thinker and insightful decision maker with ability to analyze and solve problems and have demonstrated leadership skills including the ability to direct changes to existing routines or practices to meet changing organizational needs.
- Successful candidate will have a record of accomplishment in building durable working relationships in a performance driven organization enhancing the physician and clinical department experience by developing and implementing streamlined, customer-friendly revenue cycle processes.
- Must have excellent written, oral, and interpersonal communication skills to educate and interact with all levels of healthcare professionals.
- High School diploma is required.
- Bachelor’s degree desirable in business administration, healthcare administration, or related field.
- Revenue Cycle and EHR Certification as applicable.