Experience & Skills:

Culbert is looking for consultants with a proven track record of assisting Epic clients enhance patient access operations and the patient experience through best practice workflow design, and optimization of Epic’s functionality including Direct and Open Scheduling enablement, scheduling templates, and Decision Tree design.

Examples of desired experience include:

• Lead scheduling optimization efforts including template optimization and decision tree design
• Support digital health initiatives including online scheduling enablement
• MyChart integration and optimization
• Scheduling template re-design / standardization
• Integrating Telehealth / Virtual Visits
• “Contact-free” patient check-in protocols and workflows

Education & Requirements:

• Epic Certification in Cadence required
• At least 3-5 years of hands-on IT or operational experience in an Epic environment
• Bachelor’s or master’s degree highly preferred

Experience & Skills:

Culbert is looking for a consultant who can serve in a leadership role to support the day-to-day aspects of the Health Information Management function for a large multi-specialty group practice located in multiple states.

• Provide interim management of client’s HIM team, monitoring performance and productivity of team
• Serve as HIM SME on the Epic implementation team, providing operational guidance to the implementation team on optimal workflows and system configuration
• Extensive knowledge of HIM office policies, procedures, and workflow are essential
• Mentor client staff, including training future HIM leader
• Ability to be onsite 50%

Education & Requirements:

• Certification from an accredited program in medical record administration (RHIA or RHIT)
• At least 3-5 years of hands-on HIM leadership or project management experience
• Bachelor’s or master’s degree highly preferred

Experience & Skills:

Culbert’s Revenue Cycle practice provides comprehensive solutions to help provider organizations improve the efficiency and effectiveness of their revenue cycle operations, leveraging operational best practices and advanced Epic functionality. We are looking for experienced revenue cycle leaders who can serve in interim revenue cycle leadership roles, and to lead performance improvement engagements.

• Experience assessing revenue cycle operations and specific workflows to identify performance improvement opportunities.
• Lead engagements to improve and/or transform billing operations through the implementation and optimization of advanced Epic modules and functionality.
• Serve in interim leadership roles overseeing hospital, professional and single billing office environments.
• Design future revenue cycle operational models, including SBO, develop implementation strategies, and support clients through the implementation processes.

Culbert’s athenaIDX (formerly GE Centricity) team collaborates with our clients on the implementation and optimization of their patient access and revenue cycle solutions with highly knowledgeable and experienced consultants to help clients implement operational best practices leveraging advanced athenaIDX functionality.

Desired Experience & Skills:
Culbert is looking for consultants who have successfully accomplished the following and can bring those accomplishments to our clients. Such achievements include but are not limited to:
athenaIDX Implementation, Optimization and Upgrade Experience

• Implementation Strategy and Project Management
• Workflow Analysis/Design
• Scheduling Template Design
• Training & Go-live Support
• Development and Execution of testing plans
• Post-live Optimization
• Upgrade Management

Application Support

• ETM design and build
• Reg/Sched/Visit Management
• BAR, HPA, CBO
• MCA/FRM
• EDM
• BI/DBMS/Reporting

Integration & Technical Services

• Connectivity Web Services
• Interface Development
• Cache programming
• Data Conversions

Education & Requirements:

• athenaIDX Experience required
• Strong understanding of operational workflows
• Bachelor’s degree highly preferred
• Ability to travel weekly within the continental US
• Minimum of 80% utilization
• Competent in Microsoft suite of Business Software, specifically Excel and PowerPoint

Culbert’s combination of Patient Access, Clinical and Revenue Cycle operations, along with our Epic application expertise, uniquely qualifies us to develop and implement innovative Epic programs which enable our clients to successfully navigate the changing healthcare landscape. Our Epic Consulting Team, comprised of seasoned professionals, cross-certified in multiple Epic applications, leverages proven best practices to drive both operational change and Epic adoption.

Desired Experience & Skills:
Culbert is looking for consultants who have successfully accomplished the following and can bring those accomplishments to our clients. Examples of experience include:

IT Strategy & Vendor Selection

• Enterprise-Wide Patient Access, Clinical & Revenue Cycle Applications
• Return on Investment (ROI) & Total-cost-of-ownership (TCO) Analysis
• Reporting and Informatics Program Development

Organizational Redesign

• Operational & IT Governance Design
• Single Business Office Design
• Centralized Patient Access and Call Center Design

Implementation, Optimization & Upgrade Services

• Program & Project Management
• Implementation Strategy and Management
• Risk to Revenue Mitigation
• Clinical Documentation Improvement
• Upgrade Assistance
• Workflow Analysis/Design
• Training & Go-live Support
• Post-live Optimization Programs
• Meaningful-Use and PQRS program leadership

Reporting, Integration & Technical Services

• BI & Cogito Strategy
• Custom Reporting: Clarity, Reporting Workbench, Radar & Chronicles
• Interface Development (Bridges, iSirona & Ensemble)
• Cache and Visual Basic programming
• Data Conversions

Education & Requirements

• Epic Certification required
• Bachelor’s or master’s degree highly preferred
• Ability to travel weekly within the continental US
• Minimum of 80% utilization

We are currently looking for Revenue Integrity experts who have experience across the Revenue Integrity functions including development and maintenance of charge description master (CDM), managing charge integrity between the CDM and hospital departments, researching coding, billing and revenue opportunities, reporting charge capture and revenue trends, and overall improving reimbursement while ensuring regulatory compliance.
Experience working with Epic, Cerner, GE and Allscripts in academic and integrated delivery environments is highly desired. If you are a results driven leader with extensive revenue cycle management experience and have a demonstrated ability to billing performance and the patient experience, let’s connect at talent@culberthealth.com.

Work you’ll do
Participate in the design and development of new Revenue Integrity programs

• Researches and resolves CPT and HCPCS codes, revenue codes, and other issues.
• Maintains the CDM by incorporating new charges/services identified by the departments, third-party changes, CMS regulations, federal and state specific coding updates.
• Performs a detailed, annual review of the CDM that includes identifying CPT and HCPCS codes that have been deleted, added, or replaced; assigns CPT and HCPCS specific codes when appropriate, identifies description changes, ensures the nomenclature reflects the procedures performed, and maintains an audit trail of all changes.
• Verifying adherence to charge posting policies and procedures, ensuring compliance with required governmental laws, regulations, contractual requirements, standards and practices both related to the systems charge master.
• Keeps abreast of changing industry requirements and regulations regarding acceptable documentation and billing practices by reviewing Federal Register, fraud alerts, OIG advisory opinions and other relevant publications. Communicates changes to impacted leaders and provides education on such changes.
• Establishes and performs periodic billing/claim audits based on CDM complexity and risk.
• Responds to outside compliance questions, complaints, and inquiries related to CDM items.
• Partners with departments and executive leadership to recommend and communicate additions, changes, opportunities, and audit results.
• Coordinates meetings with department managers, staff and/or physicians regarding new program and procedure developments, equipment acquisitions and validation of inactive codes. Serves as a resource to hospital departments for implementation or regulatory questions.
• Monitors revenue and usage reports daily for anomalies and researches issues. Reviews late charge reports for optimization and efficiency opportunities. Completes and provides other management reports as requested. Routinely reviews revenue recognitions processes across the organization through facilitation of Revenue Review Team.
• Works with Managed Care to recommend terms and conditions and charge increases with consideration of improving reimbursement.
• Distributes correspondence of third-party requirements for coding changes to departments for review of the impeding changes.
• Provides assistance, coordination and education on Revenue Integrity related issues.
• Provides technical assistance and oversight for charging of new services and strategic pricing initiatives. Identifies services that are reimbursable, but not being coded.
• Determines charge and charge attributes for new services and products.
• Identifies services that are reimbursable but are not being coded; reviews, assigns and validates revenue codes. Coordinates adjustments to the current market pricing position to meet organizational goals.

Qualifications

• Bachelor’s degree required with a Master’s degree highly preferred
• Minimum of 8 years of professional experience in revenue cycle operations in a health care provider, consulting, or technology vendor environment
• Demonstrates consistent career progression with increasing levels of responsibility
• Competent in Microsoft suite of Business Software, specifically Excel and PowerPoint
• Knowledge regarding CPT and HCPCS coding and UB revenue code assignments.
• Knowledge of billing and reimbursement processes and methodologies.
• A strong working knowledge of government payer programs and reimbursement methodologies (CMS, AHCCCS, etc.) and of managed care programs. Required
• Willingness and ability to travel 100%