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Cooper Norcross Health

Academic health system serving South Jersey

Healthcare Access Quality Analyst

Clinical Support & Patient AdministrationUpdated on Nov 10
Full-timeCamden, NJ, USA$34 - $56In-person

About the Job

Requirements

  • A minimum of four years of experience in hospital, ambulatory, patient access, or related revenue cycle work is preferred.
  • Demonstrated ability to research, collect, and present information.
  • Strong computer skills and proficiency with the Microsoft Office suite.
  • Thorough understanding of ICD-10, CPT codes, and HCPCS codes.
  • Epic User Web and optimization skills are required.
  • Excellent interpersonal skills and superior writing skills.
  • Ability to work to deadlines, independently and in a team environment, and manage multiple complex concurrent projects.
  • Knowledge of payer portals and policies.
  • Knowledge of EPIC account, patient, and referral work queues.

Responsibilities

  • Manage the comprehensive Healthcare Access registration compliance integrity system and work toward goals and objectives for optimizing departmental performance and mitigating denials.
  • Review and analyze denial data within Healthcare Access scope to identify trends and help develop remediation plans or workflow resolutions.
  • Present denial-metric-driven information and workflow opportunities to Healthcare Access leadership.
  • Review and analyze Notice of Admission submissions to ensure compliance with payer-driven requirements.
  • Analyze inpatient-only CPT codes for scheduled procedures to help identify best practices for obtaining proper authorization for the CPT code and site of service.
  • Develop and maintain the Executive Summary for Medicare Compliance Reports and collaborate with leadership on trends and opportunities for compliance in the IMM, MOON, and MSPQ collection process.
  • Collaborate with Epic IT to optimize Epic registration dashboards for quality and productivity.
  • Collaborate with Revenue Cycle University to develop annual CLNs and quality-assurance processes for all Healthcare Access team members.
  • Develop and monitor EPIC reports and work queues to ensure timely response to denied cases and appeals, and follow up on cases until resolution.
  • Evaluate trends in Epic DNB, Claim Edit, and patient work queues and help develop remediation plans for leaders to deliver to front-end users.
  • Support ongoing data collection and analysis, and develop and implement strategies to ensure an effective registration process.
  • Participate in developing quality-improvement documents, including quality-monitoring forms and quality standards.
  • Document and update policies, processes, procedures, guidelines, and training materials.
  • Serve as a subject matter expert in all areas within Healthcare Access scope and provide support to Healthcare Access in Camden and Cape May.
  • Perform other duties as assigned by Healthcare Access leadership.

Desired Qualifications

  • A Bachelor's degree is preferred.
  • HFMA certification or an equivalent certification in NAHAM or AAHAM is preferred.
  • Healthcare experience is preferred.

About the Company

Cooper Norcross Health

Academic health system serving South Jersey

Cooper Norcross Health is an academic health system serving South Jersey from the Philadelphia suburbs to the Jersey Shore. Its Camden flagship is South Jersey's only Level I adult trauma center and the busiest in the Philadelphia region; the system also operates a Level II pediatric trauma center and MD Anderson Cancer Center at Cooper. Patients access primary, specialty, emergency, inpatient, surgical, urgent, and rehabilitation services at Cooper hospitals and outpatient clinics, while physicians teach at Cooper Medical School of Rowan University and advance care and research. Rooted in Cooper Hospital, which opened in 1887, the not-for-profit system is headquartered in Camden, New Jersey.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Camden, NJ
Founded
1887

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