RCM Configuration Analyst III (436) (Information Technology)
Kings View is a nonprofit leader in providing behavioral health services to the underserved community, is currently seeking a driven RCM Configuration Analyst III to join our mission to provide compassionate services to those with limited resources. Our ideal candidate will have a passion to promote social justice and societal awareness, respect for human dignity, and lead with integrity while listening and responding to the community in need.
RCM Configuration Analyst III (436)
Fresno, CA
Reporting to the Director of Revenue, the RCM (Revenue Cycle Management) Configuration Analyst III is responsible for supporting the ongoing development of the revenue cycle EHR configuration, support applications, and standardized procedures. This position will operate in a lead capacity to configure and maintain billing system parameters (rules, logic, coding, etc.) to ensure accuracy and effectiveness of processes within the RCM system applications. The position will work directly with the internal EHR teams to design, develop, and maintain revenue cycle functionality to meet ongoing regulatory requirements and customer needs.
How will I contribute
In consultation with the Director of Revenue, create and communicate revenue cycle implementation plans or changes to internal teams and staff.Work directly with EHR vendor(s) and management on the development and maintenance of the EHR in support of regulatory changes and customer best practices.Work collaboratively with internal staff on the revenue cycle design, development, maintenance, and troubleshooting of the EHR. Reviews, research, and analyzes State/Federal guidelines and other information notices to determine implementation and/or revenue cycle system design and configuration strategies.Participate in State, Federal, and other EHR work groups as applicable to this position.Serve as a technical resource to internal EHR teams in the areas of revenue cycle system configuration, usage, standard procedures, and the development of instructions.Lead/facilitate internal workgroups as applicable to the revenue cycle configuration, development, and maintenance of the EHR.Assist internal EHR teams in the development of revenue cycle support tools and/or applications.Provide internal communication or training as needed on new features, regulatory, and/or design changes.Assist internal staff in the development of external customer training (train-the-trainer) as needed. Act in a lead capacity of system testing, troubleshooting, and validation as related to the revenue cycle application, including new release of functionality.Maintain knowledge of Medi-Cal, Medicare, and other payor requirements, regulations, standards, and workflows.Maintain knowledge of EHR application(s) as available through user forms, online knowledge bases, release notes, etc.Supervise configuration team, providing guidance and prioritization of tasks.Lead/facilitate the application of EHR system changes impacting revenue cycle billing structures including, but not limited to billing matrices, payer specifics, geo areas, location, service types, credential groups, rollup codes, overproduction settings, rate updates, payer plans/payer types, and qualifying criteria. Management of revenue cycle data integration(s) using imports to maintain the EHR.Assist in departmental development and dissemination of revenue cycle functions and features as needed through communications or presentations to external users. Develop and maintain revenue cycle data integration(s) using imports to maintain the EHR.Perform other duties as assigned to support the overall functioning and success of the department.
What I bring
Bachelor Degree in Computer, finance, business, or healthcare related
Class C driver's license5 years of progressively responsible experience in revenue cycle management, EHR systems (like Epic or similar), and system configuration. Bachelors Degree in Computer, finance, business, or healthcare related; or comparable quantitative field or equivalent related work experience.Strong technical knowledge of EHR revenue cycle design, development, and/or configuration including integration of new features and/or regulatory updates to existing systems. Working knowledge and experience with companion guides or other technical support documents. Strong knowledge of HCPC/CPT coding, ICD-10, and modifier selection. Strong knowledge of billing-related X12 EDI specifications, specifically 837, 835, and 999s. Knowledge of Medicare, Medi-Cal, and Private Insurance workflows and regulations. Working knowledge of and experience with the full revenue cycle workflow. Strong knowledge of using Excel to create imports and manage data integrations. Must have strong communication skills and ability to develop and lead technical teams, provide guidance, explain regulations, and communicate with various users. Strong analytical, organizational, and problem-solving skills.Excellent analytical and technical skills, a deep understanding of healthcare billing regulations, and the ability to lead teams and projects. Strong collaboration skills are essential, as the position involves working across departments and with external vendors to ensure system accuracy and compliance. Leadership experience and the ability to interpret and implement complex regulatory requirements are also key characteristics.Certified CPT coder preferred.
The Benefits
Medical, Dental, Vision InsuranceLife and Long-Term Disability Insurance401k planVacation timeTwelve (12) Paid HolidaysEducation Reimbursement Program up to $1000 per yearReferral ProgramEmployee Assistance ProgramAn environment of like-minded people reaching for the same goalServing the underserved communityA sense of purpose
Who We Are
Since 1951, Kings View leads the community in providing behavioral health services to the underserved population. We have a strong tradition of commitment, and we focus on serving rural communities where health resources are often limited. Our people treat the community with care and compassion. We stand by our cornerstone and philosophy of valuing each persons worth, dignity and wholeness in body, mind, and spirit. Our principal core values echo throughout the organization and into our patient-focused programs. At Kings View we are dedicated to continuing our demonstration in the unparalleled commitment to wellness and recovery within each community we serve. Join us and apply today.
