Job Summary

　　Serves as the Practice Consultant (PC) to assigned service lines/clinical areas for all related business. The individual acts as consultant and educator to physician leadership, administrative team and Operational staff for reimbursement, strategic growth initiatives, and compliance improvement initiatives. Provide strategic direction to facilitate maximization of clinical revenue and oversee the revenue cycle activities associated with assigned clinical areas. Investigates current processes, assessing efficiency and accuracy, and provides solutions for problems, process improvement, development of training programs, and documentation strategies that support ICD-10 complex terminology for clinical practice operations and management.

　　Job Duties

　　Responsible for determining data and planning needs by communicating with clinicians, administrators, and analysts.

　　Identifies issues and formulates hypotheses.

　　Performs analysis by accessing a wide-range quantitative and qualitative information, including market and trend data, physician productivity, and clinical technology.

　　Acquires external relevant data and information sets, including insurance regulations and technology deployment.

　　Synthesizes information for new program and service design and establishes performance benchmarks.

　　Identifies and quantifies business opportunities, leads program development, and business plans.

　　Prepares reports, presentations, maps, and graphs, reflecting the synthesis, summary, and translation of data into actionable information.

　　Delivers presentations to clinicians and administrators.

　　Responsible for supporting software users throughout organization to develop and deploy workflows and support data sets.

　　Develops and monitors all billing flows system-wide.

　　Provides education and training for ICD-10 across the organization.

　　Consultants will work with client to define solutions to needs or problem areas, and determines scope of investigation required to obtain solution.

　　Solutions may include installation of alternate methods and procedures, changes in methods and practices, or redesign of products or services.

　　Serves as the primary liaison with users and Information Technology for financial system requirements including: System problem solving, system enhancements, new system development and implementation, and system auditing and maintenance Administers and champions the objectives of new entity and acquisitions by acting as a liaison between Revenue Management, IT, and clinical operations.

　　Reviews, designs, and implements processes surrounding mergers and other financial analysis to optimize accuracy, proficiency, and ensure that the organization’s initiatives and targets are met.

　　Maintains full understanding of commonly-used workflows, concepts, practices, and procedures within a dynamic healthcare field.

　　Utilizes extensive experience, creativity and judgment to plan, execute, and accomplish goals in a timely fashion.

　　Shows flexibility to perform a variety of tasks as they present themselves.

　　Educates physicians and management on governmental policy changes and the effect these changes have on clinical service, while creating strategies to reduce the impact while maintaining compliance.

　　Work is typically performed in an office environment. Travel may be required. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

　　Position Details

　　Education

　　High School Diploma or Equivalent (GED)- (Preferred)

　　Experience

　　Minimum of 6 years-Relevant experience* (Required)

　　Certification(s) and License(s)

　　OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

　　We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.