LCMC Health

Learning and Development

• Analyze user requirements and develop training plans for EPIC and other applications.
• Complete environment build/prep, support go live processes, and provide help desk support as needed.
• Prepare and present training plans, materials, and conduct classes on patient-care systems.
• Collaborate with internal IT teams on troubleshooting, integration, reporting, and training.
• Create and maintain training documentation as required.

Instructional Design Analyst

Data Engineer

• Completes assigned tasks per defined project scope, timelines, and budgets
• Works with internal IT teams on technical troubleshooting, integration, reporting, and training
• Follows department standards and procedures
• Maintains knowledge of health care, technology, and industry trends
• Collects data regarding current IT environment and documents workflows and system access
• Develops data products (tables, DataMart's, stored procedures, imports/extracts, etc.) to support the development of reports, dashboards, and other outputs according to required specifications and objectives
• Designs and implements ETL procedures for intake of data from both internal and outside sources as well as ensures data is verified and quality is checked
• Collaborates with business and technology stakeholders in ensuring data warehouse architecture development and utilization.

Enterprise Data Warehouse Developer

Medical Billing and Coding

• The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties
• The Coding Senior may be assigned any of the coding functions of a Coding Specialist I
• Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers
• Validates charges by comparing charges with health record documentation as necessary
• Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding
• Identifies concerns and notifies appropriate leadership for resolution
• Responsible for providing resolution to moderate to complex problems
• Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion
• Consistently meets or exceeds coding quality and productivity standards established by coding department
• Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information
• Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations
• Performs other duties as assigned by leadership
• Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Lead Coder

Manager

• Manages all reporting functions related to gross revenue, revenue deductions, bad debt, patient accounts receivable and settlement receivables for consolidated financials and subsidiaries.
• Preparation of all the schedules related to the above-mentioned transactions.
• Supervises staff and ensures the filing of all the cost reports per timelines.
• Verifies monthly financial statements and schedules related to revenue for accuracy and reasonableness before submission to the leaders.
• Consults, advises and answers questions raised by the leadership.
• Maintains a clear understanding of general ledger and patient accounting systems.
• Leverages analytical and interpretative skills in analyzing financial statements and reports.
• Produces revenue budgets and financial projections.
• Assists with annual 990 filings.
• Coordinates the completion of audit schedules for revenue, revenue deductions, patient accounts receivable and settlement receivables requested by the audit firm.

Manager Reimbursement

Analyst

• Reconciliation of EPIC Cash Posting Clearing Accounts, and lockboxes
• EPIC/Finthrive/JPMC mapping of files, and logic within those software applications
• Maintenance of all payor W9 and payor webportal access/administrative updates
• Researching and resolving unapplied cash in EPIC, the Cash Control Sheets, and in JPMC
• Reconciles Epic posting for multiple clinics to bank statements. Works closely with the leadership team on unreconciled and/or unbalanced items.
• Reconciles insurance payments, self-pay payments, credit cards, vendor payments and other transactions posted in the patient accounting systems to Epic.
• Prepares supporting documentation necessary (reconciliation, spreadsheets, journal entries and reporting) for accounting, revenue cycle, and payors assuring accuracy of financial statements.
• Participate in internal and/or external audit reviews.
• Identifies and works with leadership team, and other parties to resolve payments unclaimed/not associated with patient care or clinic activity.
• Works with leadership team to develop and document cash posting workflows and educational tools used to facilitate cross training and internal controls.

Revenue Cycle Cash Posting Analyst

• The Systems Analyst, under direct supervision, supports legacy technology systems and maintains the technical infrastructure.
• Provides technical analysis and ensures overall operations and automation.
• Consults with users to identify current operating procedures and to clarify program objectives.
• Performs analysis of identified legacy applications and business processes/functions.
• Maintains the databases to ensure continued operation of the legacy applications.
• Monitors supported systems ensuring appropriate service levels are being provided.
• Performs system administration to ensure proper configuration and system integrity.
• Supports the maintenance and data extracts of legacy data as requested.
• Provides documentation as required.

Epic Analyst

Software Engineer

• Development: Develop and optimize data models and workflows.
• Design, build, and optimize data models and workflows within Palantir platform to support analytics and AI-driven applications.
• Create scalable and efficient data structures that facilitate effective data management and ensure accuracy in analytics outputs.
• Create and deploy end-to-end analytics applications.
• Develop and deploy comprehensive analytics and AI applications, utilizing Palantir platform, Python, and Alteryx.
• Ensure applications integrate seamlessly into healthcare workflows, optimizing operational processes and supporting healthcare delivery.
• Conduct in-depth analysis of large, complex datasets to identify actionable insights, trends, and opportunities for improvement - apply advanced analytics techniques to support decision-making and enhance healthcare outcomes.
• Collaborate with business stakeholders to understand strategic needs - translating business concepts into actionable data insights.
• Communicate findings and proposed solutions to technical and nontechnical teams, aligning analytics solutions with organizational goals.
• Support cross-functional integration and application performance - work closely with cross-functional teams, including IT, business, and healthcare professionals, to integrate data-driven solutions into existing workflows.

Corporate Revenue Cycle Analyst, Developer

• Provides support to the leadership team to create and oversee the revenue cycle reporting process.
• Assists in the interpretation of operational scorecards, distributes updated information and analysis on a regular schedule.
• Generates data and reports on a regular schedule as directed by revenue cycle leadership as well as any ad hoc reporting as needed.
• Provides analysis and insight regarding the data generated and presented to the leadership and/or senior leadership as needed based on the reports generated.
• Support of leadership team and others as requested through the application of data analysis to improve current performance.
• Notifies the leadership of any significant variance to standard metrics or reports.
• Creates ad hoc reports and analysis utilizing a variety of tools such as MS Excel, MS PowerPoint, Alteryx, Tableau, MS Access and EPIC SlicerDicer, and EPIC Radar.
• Assists with special projects within revenue cycle operations as required.
• Participates in the assessment and development of business intelligence platforms, data warehouses, and other reporting tools.
• Compiles and maintains detailed cash, billing, and reimbursement metrics that can be used for daily operational reviews to identify trends and provide insights to leadership.