Hospital Pharmacy Revenue Analyst – Program Technician 1

Role Overview

• Use pharmacy hospital clinical knowledge to perform detail review and analysis of pharmacy dispense, verification, administration documentation, waste documentation and coding to ensure pharmacy billing compliance standards are met.
• Verify medication dosing unit of measure calculation based on specific National Drug Code (NDC) and for units administered to the patients.
• Ensure current up to date pricing by validating Epic applied pricing is consistent with external source, when inconsistency exist use experience and judgement to propose resolution.
• Review Healthcare Common Procedure Coding Systems (HCPCS) coding and Medicare billing quantity are appropriate to ensure maximize reimbursement and prevent payer denial.
• Analyze and validate accuracy of JW Waste Modifier documentation and perform manual calculation and charge when necessary.
• Trouble shoot; problem solve, communicate and collaborate deficiency.
• Maintain multiple follow-ups and work towards resolution with Nursing, Providers and Pharmacy Operations on deficiency to support billing compliance.
• Review false positive reports for deficiency and identify trends, resolve issues and plan remediation plan as necessary.
• Analyze and interpret paper medication documentations for non-Epic system charge and perform manual charge capture aka bulk charging in Epic Willow.
• Provide technical support in the design, implementation and ongoing monitoring of pharmaceutical charges across multiple pharmacy systems.
• Ensure pharmacy charge methods are in compliance with regulatory requirements.
• Work to continuously evaluate pharmacy systems that are used for charge capture and supporting documentation.
• Use the Omnicell Automated Dispense Cabinet report to assess medication utilization by hospital units.
• Utilize Workflow Rx system to remotely access Omnicell Carousel Medication Cabinet in order to view inventory and pharmacy dispense tracking.
• Run EPIC workbench, Omni center Firefox, Bobj reports to review details.

Requirements

• Three years of experience administering or coordinating parts or subsets of a project or program.
• A bachelor’s degree in business administration, Management, Public Administration, or a field directly related to the position will substitute for two years of the required experience.
• Related experience in a pharmacy technician role in a hospital that requires accurately, efficiently and effectively meet the performance standards for Triage, Decentralized and IV Room responsibilities.
• Proficiency with Epic, Microsoft Outlook, Excel, PowerPoint and Word.
• Organized task and follow-up items.
• Ability to read and understand medical related terms.
• Ability to perform basic pharmaceutical mathematics calculations.
• Ability to effectively work both independently and in a team environment; effective organizational abilities, oral and written communication skills, and interpersonal skills; ability to operate and communicate effectively while meeting multiple deadlines and completing projects simultaneously; ability to interact in a positive, productive manner with provider, nursing, pharmacy staff and leadership (demonstrating sensitivity, tact, and professionalism).
• Must be able to perform the essential functions of the position with or without accommodation.

Benefits

• Health insurance
• Retirement plans
• Paid time off
• Flexible work arrangements
• Professional development