Remote Digital Status Reporting Analyst – Apply Now

process description
Epiphany family offerings is in search of a exceedingly professional and challenge–pushed records Analyst to aid our tailored Care management (TCM) program. This position is critical in remodeling behavioral fitness and operational statistics into actionable insights that enhance care fine, give a boost to compliance, enhance member effects, and guide organizational overall performance.
if you are enthusiastic about improving behavioral health systems through records, analytics, and satisfactory–pushed strategies, we would like to pay attention from you.

role precis
The TCM statistics Analyst collects, analyzes, translates, and reports records associated with TCM operations, making sure compliance with NC Medicaid and tailor-made Plan requirements. The analyst plays a important position in improving care coordination, operational efficiency, billing accuracy, and universal provider transport outcomes.

Key duties
1. facts control & Reporting
broaden and keep dashboards and reviews (productivity, compliance, great measures).
Extract, easy, validate, and examine EHR information.
ensure accuracy and timeliness of TCM encounters according to kingdom guidelines.
Produce monthly, weekly, and quarterly operational reviews.
2. TCM Compliance monitoring
music timelines related to the 6 TCM core capabilities (assessment, planning, tracking, and so on.).
Generate signals for past due duties, expired tests, or lacking documentation.
help internal audits, mock evaluations, and non-stop high-quality improvement.
three. overall performance improvement & fine projects
behavior trend analyses for sanatorium readmissions, ER utilization, SDOH, critical incidents, no-display patterns, and extra.
pick out carrier gaps and possibilities to bolster outcomes.
assist management with performance improvement Plans (PIPs) and corrective movements.
four. Billing & financial Analytics
examine claims and encounter statistics to aid billing accuracy.
tune compensation patterns and generate monthly revenue reports.
assist financial forecasting and caseload ability modeling.
five. go–branch Collaboration
companion with Care Managers, Supervisors, fine teams, clinical management, Billing, Finance, and IT/EHR teams.
participate in personnel meetings, audits, and unique tasks.
offer ad hoc reporting and analytical help as wanted.

qualifications
Required
Bachelor’s degree in facts Analytics, Public fitness, fitness Informatics, information, Social work, Psychology, or related field.
2+ years of healthcare statistics analytics enjoy (behavioral fitness preferred).
information of NC tailor-made Care control standards & Medicaid documentation requirements.
skillability in:
Excel (superior preferred)
power BI or Tableau
square & question gear
EHR reporting/analytics
strong expertise of HIPAA, PHI security, and facts governance.
desired
enjoy with NC LME/MCOs or tailor-made Plans (companions, Vaya, Trillium, Sandhills, and so on.).
information of CPT/HCPCS codes, specially for TCM.
experience analyzing outcomes for SMI, SUD, I/DD, and complex children populations.
Familiarity with fine frameworks (HEDIS, NCQA, CMS).
grasp’s degree in Analytics, Public health, or health management.