Catalyst Clinical Coding Analytics Jobs in Nebraska

GENERAL SUMMARY:
Provides consultative services to Bryan Health Connect (BHC) member clinics to support clinical processes and effective and efficient delivery of health care in order to improve quality and decrease health care costs. Works collaboratively with member clinics in measuring performance, identifying gaps in best practice and recommending improvement methods to transform patient care processes and improve cost and quality outcomes.
PRINCIPAL JOB FUNCTIONS:
1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.
2. *Acts as a subject matter expert in areas of Government, Insurance Payer and Health System regulatory, compliance and payer quality/cost efficiency programs.
3. *Develops, implements, and monitors the ongoing process of meeting clinical, operational, and governmental performance measures/objectives and value-based programs.
4. *Provides training and ongoing education of clinical users on features, operation, and usage of clinical systems. Selects appropriate training methodology, develops training plan, designs training materials, and trains end users to support the transition into new systems and processes for clinical staff and physicians.
5. *Coordinates the design of and generates routine and specialized reports that provide actionable data related to opportunities within clinical systems, quality of care, and clinical performance while assisting with interpretation and meaning of the data as needed.
6. *Presents complex data to physicians, administrators and other healthcare professionals.
7. *Maintains ongoing, positive, solution-driven relationships by frequently working with BHC clinical staff and physicians at the point of care to foster collaboration, engagement, improved adoption/consistency, and optimization of patient care delivery systems to advance the clinical priorities of BHC.
8. Collaborates with EHR departments at BHC sites on configuration to support efficient and effective clinician workflow, while enabling the capture of clinical data required for outcomes analysis, process improvement initiatives, regulatory reporting, and clinical operations management.
9. Provides coaching to BHC physicians and clinical support staff on clinical documentation improvement opportunities as well as opportunities involving coding and reimbursement.
10. Leverages clinical knowledge of processes, workflows, and evidence-based practice to improve the efficiency and effectiveness of BHC clinic systems and operations.
11. Proactively identifies and addresses knowledge deficits and serves as a facilitator of projects to solicit interdisciplinary end user input for analysis of current state, identification of process gaps, design of future state, incorporation of clinical best practices, and ongoing enhancement of clinical system processes.
12. *Works with appropriate leadership to implement and maintain the population health management strategy to develop and execute work plans to engage physicians, providers and community partners to improve healthcare quality and financial performance.
13. *Travels extensively between sites approximately 3-5 days per week, including evening and early morning meetings as needed. Travel is primarily during the business day, but some overnight travel may be required.
14. Utilizes data and evidence-based research to identify practice variability and define targeted and scalable initiatives for improvement.
15. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
16. Participates in meetings, committees and department projects as assigned.
17. Performs other related projects and duties as assigned.
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
1. Knowledge of government, clinical, and operational quality and performance measures/objectives and value-based programs.
2. Knowledge of payer reimbursement methodologies and quality incentive programs
3. Knowledge of certified electronic health record technology (CEHRT), third part data depositories, and government reporting applications.
4. Knowledge of process improvement and change management principles within the healthcare environment.
5. Knowledge of key processes within the healthcare system including effective models to improve care while decreasing costs, HIPAA, regulatory reporting, clinical databases, data management, quality improvement and change management concepts to improve efficiencies.
6. Knowledge of clinical practice and care of patients related to disease management, examinations, diagnostic and treatment procedures.
7. Knowledge of program development and coordination of clinical quality assurance programs.
8. Knowledge of computer hardware equipment and software applications relevant to work functions.
9. Strong analytical skills.
10. Skill in working autonomously on multiple tasks, projects, activities and analytics in a fast-paced, dynamic environment while remaining organized and focused on key goals.
11. Skill in speaking effectively to small and large groups of physicians, administrator and others with goal of presenting information, answering questions, networking and relationship building.
12. Skill in collaborating with community partners, physicians, healthcare providers and clinic managers.
13. Ability to facilitate change and manage projects through analysis, key end user engagement, and consensus building within an interdisciplinary environment.
14. Ability as a self-starter, self-directed and self-motivated in a collaborative work environment that holds self and others accountable to high performance standards.
15. Ability to exercise good judgement and critical thinking skills.
16. Ability to maintain confidentiality relevant to sensitive information.
17. Ability to use exceptional interpersonal communication skills, written, verbal, and listening, for communication on all levels.
18. Ability to accomplish BHC goals within set budgets.
19. Ability to maintain regular and punctual attendance.
EDUCATION AND EXPERIENCE:
Bachelor's degree in a related field, preferably nursing with three (3) years of work-related experience or Masters of Science degree with one (1) year of work-related experience required. Licensure in a medical or allied health area of study or professional certification preferred. Experience in nursing, allied health, healthcare administration, public health, clinical quality, or informatics preferred.
Experience in practice re-design work, practice transformation, quality improvement, population health management, ambulatory care setting, quality and efficiency metrics, and using data to set goals, influence stakeholders and measure progress are highly desired. Previous experience in electronic health/medical records preferred. Experience in performance improvement and project management preferred.
OTHER CREDENTIALS / CERTIFICATIONS:
Valid driver's license required. Verification and maintenance of responsible driving record per facility standards required.