1. Establishes reporting mechanisms to support analysis of billing activity and reduce manual processes. Analyzes data in order to identify opportunities for increased revenue capture. 2. Works closely with subject matter experts and client groups within diagnostic and interventional arenas to consult, conduct analysis, and identify business objectives and solutions. 3. Monitors and enforces compliance with YMA policies and procedures, practice standards, HIPAA, and Regulatory Agencies. Assists and supports the YMA Compliance Department with all internal and external audits as it relates to both clinical documentation and billing/coding. 4. Assists the reimbursement staff with any issues regarding appeals, denials, or revenue reduction due to EPIC, carrier, or YMA related matters. 5. Identifies core customer business issues and provides solution recommendations to address them. Develops necessary tools and workshops to successfully identify issues and evaluate recommendations. 6. Gathers, receives and interprets data, analyses and reports. Develops reporting modules, ad-hoc reports, and related reporting tools. Conducts research, data gathering, data analysis, modeling, projecting and scenario analyses, with the aid of planning technology and databases. Develops and harnesses the data that is available to identify existing business issues and key drivers and develops solutions and initiatives. 7. Evaluates data gathered from multiple sources to support the issues, conclusions and recommendations. Analyzes data with standard methods, interprets the results and provides written summary and reporting of analysis. Develops and validates queries for the successful extraction of appropriate data. 8. Develops and maintains documentations and libraries on key processes. 9. Ensures accuracy to maintain the high quality and integrity of information, data and databases. 10. Contributes to the development of unit and/or University plans and strategies. Researches, gathers data and provides recommendations. 11. Collaborates with key stakeholders and subject matter experts to establish the vision, analyze costs and benefits and support implementation. Ensures strategic and tactical plans are carried out. 12. Communicates effectively the perspective of business opportunities, needs, and risks. Communicates billing processes and systems to the department. Provides education to the faculty and/or staff and monitors effectiveness of processes.
Preferred Education: AAPC certification preferred. Prior experience with EPIC and Q-Genda preferred.
Preferred Education, Experience and Skills: AAPC certification preferred. Prior experience with EPIC and Q-Genda preferred.
Required Skill/ability 5: Excellent organizational skills ad ability to manage multiple priorities.
Posting Position Title: Clinical Liaison, Radiology
Required Skill/ability 3: Well-developed leadership and customer service skills to facilitate effective working relationships among staff. Proven management and supervisory skills.
Work Week: Standard (M-F equal number of hours per day)
University Job Title: Clinical Department Liaison
Required Skill/ability 1: Excellent oral and written communication skills. Ability to adapt communication style to address the needs of individuals at all levels throughout the University. Ability to communicate policy and procedure to staff and faculty in a way that encourages compliance.
Required Skill/ability 4: Ability to identify, analyze and solve problems.
Required Skill/ability 2: Familiarity with medical office/hospital systems, medical record management software, Outlook and Microsoft Office applications and business intelligence reporting tools.
Bachelor's Degree in a related field and four years of related experience or equivalent combination of education and experience.
Yale University is an American private Ivy League research university located in New Haven, Connecticut. Founded in 1701 in the Colony of Connecticut, the university is the third-oldest institution of higher education in the United States.