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Healthcare and Health Plan Services

Big-Data-in-Healthcare_2

Analysts

HIM experts ready to help you gather and interpret data from EMR, billing, cost reports and patient satisfaction surveys.

  • Applies critical thinking and problem-solving skills and works collaboratively with stakeholders to develop a variety of standard, ad-hoc and customized reports. Work with large amounts of data (facts, figures, and number crunching), sift through the data and analyze it to find trends and patterns, and to help make both conclusions and recommendations for future efforts.
  • Translates data into an understandable document. Presents actionable data to end users in the format best matched to their needs, including publishing key reports using Microsoft Access, Word, Excel, or PowerPoint. Provides support to users in interpreting and presenting data, including presentation of data to individuals and groups.
  • Manages and provides oversight of performance measurement system, to include business plans, scorecards, workload indicators, status reports and performance agreements. Creates milestones and other PI support documents
  • Facilitates the design and implementation of new/improved process models and organizational structures in support of all business transformation and change management developments. 
  • Provides reliable and professional advice to executive management as it relates to project management, change management and implementation of operational process improvements. 
  • Provides process improvement fundamentals, practical application and continuous improvement training materials
  • Advises and consults on the use of analytical and statistical reporting to ensure data is accurately reported.

Aids with the design, build, testing, validation, and ongoing support of clinical and/or revenue cycle and access applications-including the review and update of EDI settings in conjunction with newest release of data requirements. 

Identifies and resolves systems issues as they relate to EMR/EHR or EDI settings

Provides expert and creative solutions to end-user requirements and problems

Performs in-depth analyses of workflows, data collection, interface integration needs, reporting requirements

  • Deep analysis and retro audit claim data (coding, billing, documentation) 
  • Identification of gaps or flags in workflow, process improvement, collaboration, staff training/on-going education, coding and billing guidelines
  • Modeling, reporting and reviewing of proper reimbursement from third party payors in accordance with regulatory, accounting and contractual standards 
  • Troubleshoot and resolve outstanding escalated accounts and EDI issues 
  • Prepares and/or provides necessary information required for the completion of all external financial audits 
  • Train new employees; mentor existing employees or conduct training courses on coding, billing and HIPAA. 

Systems

McKesson
Epic
LastWord
Cerner
NextGen
Centricity
Allscripts
EZClaim
Cerner

Software

Office Suite/365
Visio
Google Docs

Project/Program Management

Responsibility of the planning, procurement and execution of a project or event. PMs on staff have 10+ years of experience in both business and technical areas. 

Deliverables:

Scope, Schedule, Resource Plan, Training Plan, Communication Plan, Procurement Plan, Budget, Sprint Burndown, Milestone Tracking, Change Management Plan, Impact Assessment, Stakeholder Plan

Supervision of small or large cross-divisional projects. 

Daily program management
Clearly defines program controls
Plans overall program and monitors progression, risks/issues, budget, interdependencies, resources, stakeholders and aligns deliverables. 

Systems/Methods

EMR/EHR
Agile
Waterfall
PMLC
Six-Sigma

Software

MS Project
Zoho
Smartsheets
Basecamp

Niche Consultants

Top notch consultants to help you with you get the most from your incentive plans. 

  • PQRS
  • eRX
  • MIPS
  • QBPI
  •  Star Ratings
  •  QSSP
  •  HEDIS
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