Analyzes data, develops reports, reviews trends and recommend enhancements as defined by the revenue practice leadership team
Participates, researches and follows-up on topics presented at department and system-wide initiatives
Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams' performance
Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits
Provides education and guidance to revenue cycle and clinical operations on report development, charge capture accountability and revenue monitoring
Performs extensive data mining, regulatory and payer policy review, abstracting of financial and clinical information from various sources
Demonstrated experience in a role requiring attention to detail with excellent organizational and analytical skills
Demonstrates flexibility and adaptability to change
Demonstrates ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes
Experience working closely with a multi-disciplinary team to optimize patient experience and operational success
Preferred Bachelor’s degree in finance, healthcare management, data science or related field from an accredited institution
Education is verified
Proficient or certified with Epic clinical or billing applications
Demonstrated clinical or healthcare revenue cycle experience
Benefits
generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged