Farmington, Connecticut, USA
6 days ago
Supv Revenue Integrity Special / Revenue Cycle Cmdr Coding
Work where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryWorking under the direction of the Manager of Revenue Integrity the Revenue Integrity Specialists Supervisor is primarily responsible for managing coordinating and implementing claim edits denials charge capture accuracy initiatives compliance with regulatory requirements and processes to improve revenue management and revenue protection and ensure the overall integrity of the charge capture process relevant to hospital claims This position will facilitate the implementation of Revenue Integrity process improvement throughout the HHC organizationPosition ResponsibilitiesKey areas of responsibilitymiddot Provides leadership and direction by supporting and motivating coaching and mentoring staff Manages the hiring and training of staff Ensures that necessarily follow up occurs Effectively assigns tasks to personnel with appropriate skill sets Performs mid annual and annual performance reviewsmiddot Provides and manages the support and education related to claim edits denials and charge capture of services to multiple staff levels including department leaders in compliance with state federal and other third party payer guidelines Charge accuracy claim edit and denial accuracy and claim edit reductionDevelop and maintain an annual audit plan to proactively ensure accurate revenue capture and seek to continually improve charging processes while assuring compliance with standard charging guidelines for staffmiddot Provide consultative and analytical services to operations and other personnel within the organization with respect to chargingDevelop implement and monitor adherence to departmental policies procedures and education with revenue integrity staff and clinical departments Creates necessary operational standard workmiddot Conducts special projects and special studies to facilitate revenue management and compliance as required new facilitiesacquisitions new departments new service lines changes in regulations legal reviews etcmiddot Oversees charging related payor policies changes in collaboration with the Managed Care Department Includes the tracking and implementation of any necessary changes in the EPIC system as it relates to the CDM claim edits EPIC claims logic etcWorking RelationshipThis Job Reports To Job Title System Director Revenue Integrity Workers Responsible For Direct Reports In Direct Reports Nature of SupervisionHires and trains staff provides leadership and direction by supporting and motivating staff Performs Performance Reviews InternalRevenue Integrity AnalystsWork where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryWorking under the direction of the Manager of Revenue Integrity the Revenue Integrity Specialists Supervisor is primarily responsible for managing coordinating and implementing claim edits denials charge capture accuracy initiatives compliance with regulatory requirements and processes to improve revenue management and revenue protection and ensure the overall integrity of the charge capture process relevant to hospital claims This position will facilitate the implementation of Revenue Integrity process improvement throughout the HHC organizationPosition ResponsibilitiesKey areas of responsibilitymiddot Provides leadership and direction by supporting and motivating coaching and mentoring staff Manages the hiring and training of staff Ensures that necessarily follow up occurs Effectively assigns tasks to personnel with appropriate skill sets Performs mid annual and annual performance reviewsmiddot Provides and manages the support and education related to claim edits denials and charge capture of services to multiple staff levels including department leaders in compliance with state federal and other third party payer guidelines Charge accuracy claim edit and denial accuracy and claim edit reductionDevelop and maintain an annual audit plan to proactively ensure accurate revenue capture and seek to continually improve charging processes while assuring compliance with standard charging guidelines for staffmiddot Provide consultative and analytical services to operations and other personnel within the organization with respect to chargingDevelop implement and monitor adherence to departmental policies procedures and education with revenue integrity staff and clinical departments Creates necessary operational standard workmiddot Conducts special projects and special studies to facilitate revenue management and compliance as required new facilitiesacquisitions new departments new service lines changes in regulations legal reviews etcmiddot Oversees charging related payor policies changes in collaboration with the Managed Care Department Includes the tracking and implementation of any necessary changes in the EPIC system as it relates to the CDM claim edits EPIC claims logic etcWorking RelationshipThis Job Reports To Job Title System Director Revenue Integrity Workers Responsible For Direct Reports In Direct Reports Nature of SupervisionHires and trains staff provides leadership and direction by supporting and motivating staff Performs Performance Reviews InternalRevenue Integrity AnalystsRequirements and SpecificationsEducationMinimum Bachelorrsquos Degree or equivalent Healthcare experience of yearsPreferred Undergraduate degree preferredExperiencesect Minimumo Healthcare experience required at a minimum of yearso years of regulatory compliance and auditing experience o years of charge capture experiencesect Preferred Clinical experienceLicensure Certification Registrationsect CCS CCS P CPC CPC H RHIT RHIALanguage Skillssect EnglishKnowledge Skills and Ability Requirementsmiddot Excellent communication skills both verbal and written middot Good interpersonal skills middot Able to establish good customer relationships with trust and respect middot Able to travel as needed middot Computer skills navigation and edit resolution through various Web based systems Ability to use email Excel WordWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentRequirements and SpecificationsEducationMinimum Bachelorrsquos Degree or equivalent Healthcare experience of yearsPreferred Undergraduate degree preferredExperiencesect Minimumo Healthcare experience required at a minimum of yearso years of regulatory compliance and auditing experience o years of charge capture experiencesect Preferred Clinical experienceLicensure Certification Registrationsect CCS CCS P CPC CPC H RHIT RHIALanguage Skillssect EnglishKnowledge Skills and Ability Requirementsmiddot Excellent communication skills both verbal and written middot Good interpersonal skills middot Able to establish good customer relationships with trust and respect middot Able to travel as needed middot Computer skills navigation and edit resolution through various Web based systems Ability to use email Excel WordWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment
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