Note: The job is a remote job and is open to candidates in USA. enkompas Technology Solutions is seeking a Netsmart RCM Consultant to support healthcare organizations in optimizing their EHR systems and revenue cycle management processes. The role involves implementing EHR software, providing training, ensuring compliance with regulations, and improving overall revenue cycle efficiency.
Responsibilities
- Assess healthcare organizations' current Netsmart EHR systems and revenue cycle processes
- Lead or support the implementation of EHR software and workflows, ensuring smooth integration with existing systems
- Provide technical support during system go-lives and monitor for system performance issues
- Recommend process improvements related to EHR workflows to ensure efficient, error-free patient data management
- Ensure Netsmart EHR systems are fully integrated with revenue cycle management processes, from patient registration through billing and collection
- Work closely with finance, billing, and coding departments to align system capabilities with billing and reimbursement standards
- Analyze and provide solutions for issues related to claims processing, payment cycles, and insurance reimbursements
- Support the development and implementation of automated processes to improve efficiency and reduce denials
- Develop training materials and conduct training sessions for healthcare providers, clinical staff, and administrative staff on Netsmart EHR and RCM system usage
- Offer ongoing support and troubleshooting assistance for users experiencing technical issues
- Ensure that staff are properly trained on documentation standards and coding processes to avoid billing errors
- Ensure that Netsmart EHR systems comply with healthcare regulations, including HIPAA, ICD-10, and other relevant standards
- Stay updated on industry trends, regulations, and best practices related to EHR and RCM, ensuring the organization is always in compliance
- Assist with audits and address any discrepancies identified in billing or coding
- Analyze and recommend strategies for improving revenue cycle efficiency, including reducing claims denials and improving payment accuracy
- Develop and maintain reports to track revenue cycle KPIs (Key Performance Indicators) and EHR performance metrics
- Provide recommendations to optimize workflows, reduce bottlenecks, and improve patient billing experiences
- Act as a liaison between IT, healthcare providers, billing departments, and management to ensure the seamless operation of both EHR and RCM processes
- Facilitate communication between clinical and administrative teams to ensure timely and accurate documentation, coding, and billing
- Provide insights and recommendations to senior management on the status and effectiveness of EHR and RCM systems
Skills
- At least 3-5 years of experience working with Netsmart EHR systems, revenue cycle management, or healthcare consulting
- Strong experience with Netsmart EHR software solutions (myAvatar or myEvolv)
- Experience with healthcare billing, coding (ICD-10, CPT, HCPCS), and insurance reimbursement procedures
- Strong knowledge of EHR systems and healthcare revenue cycle processes
- Excellent problem-solving and analytical skills
- Strong communication skills, both written and verbal
- Ability to work collaboratively with cross-functional teams
- Proficiency in using healthcare management software, Microsoft Office, and data analytics tools
- Bachelor's degree Healthcare Administration, IT, or a related field
- Certified Professional in Healthcare Information and Management Systems (CPHIMS) or Certified Revenue Cycle Professional (CRCP)
- Other certifications like Certified Healthcare Financial Professional (CHFP) are a plus
Company Overview
enkompas Technology Solutions provides strategically aligned business and technology services to the enterprise market. It was founded in 1997, and is headquartered in Pittsburgh, Pennsylvania, USA, with a workforce of 51-200 employees. Its website is https://www.enkompas.com/.