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 SummaryThis position contributes and supports Revenue Integritys mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and the charge improvement process It is an integrated approach that guides the Hartford HealthCare HHC organization toward achieving operational efficiency complete regulatory compliance and total reimbursement This role supports HHC institutes that includes hospitals and professional services for high profile areas and largest revenue generating clinical departmentsUnder the direction of the Manager Revenue Integrity Analyst ndash Clinical Liaison the Revenue Integrity Analyst I plays a key role in a high profile group tasked with improving revenue results This position is integral to the Revenue Integrity Team to assist in ensuring charging accuracy for patient services and appropriately coded supported by clinical documentation so the related revenue is recorded in the proper department In turn this promotes revenue enhancement and compliance with laws and regulations with feedback and education to the hospital departments as neededThis position is responsible for assisting Revenue Cycle Services Coding Clinical Documentation Improvement CDI and other departments with resolution of billing issues andor denials requiring clinical expertise participating in external audit requests and special projects as needed This position also serves as an audit outcome educator with clinical staff in clinic and department settingsPosition ResponsibilitiesKey Areas of Responsibility This position is responsible for assisting Revenue Cycle Services Coding and other clinical departments with resolution of billing issues andor denials requiring clinical expertise participating in external audit requests and special projects as needed Performs denial resolution by analyzing denial data to identify root causes of preventable denials develop and implement corrective action plans to address root causes including collaborating with the clinical areas as well as other departments within revenue cycle Optimizes revenue cycle processes by validating evaluating and trending substantial amounts of data for presentation to all levels of the organization This position serves as an audit outcome educator with clinical staff in clinic and department settings Performs regular charge audits identifying any trends and implementing corrective actions when appropriate reporting to the Revenue Integrity Manager Provides guidance communication and education on correct charge capture documentation coding and billing processes Performs an integrated approach toward achieving operational efficiency complete regulatory compliance and total reimbursement In turn this promotes revenue enhancement and compliance with laws and regulations with feedback and education to the hospital departments as needed Evaluates current charging and coding structures and processes in revenue generating departments to ensure appropriate capture and reporting of revenue and compliance with government and third party payer requirements Assesses the accuracy of all charging vehicles including clinical systems and dictionaries encounter forms and other charge documents used to capture revenue This position is integral to the Revenue Integrity Team to assist in ensuring patient services are accurately charged appropriately coded supported by clinical documentation and that the related revenue is recorded in the proper department This position is responsible for assisting Revenue Cycle Services Coding and other departments with resolution of billing issues andor denials participating in external audit requests and special projects as needed Communicate CDM maintenance activities to clinical departments and information systems staff to implement necessary changes that affect charge identification capture reconciliation and claim processing Ensure changes within the charge description master CDM coincide and are implemented with clinical systems by reviewing flow sheets or charge capture preference lists Leads annual quarterly CPTreg HCPCS changes for accuracy compliance with applicable billing guidelines and optimization of reimbursement Monitor national state and local information to keep current with applicable regulatory and legislative changes and tailor the revenue integrity program accordinglyWorking RelationshipsThis Job Reports To Manager Revenue Integrity Analyst ndash Clinical LiaisonWork 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 SummaryThis position contributes and supports Revenue Integritys mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and the charge improvement process It is an integrated approach that guides the Hartford HealthCare HHC organization toward achieving operational efficiency complete regulatory compliance and total reimbursement This role supports HHC institutes that includes hospitals and professional services for high profile areas and largest revenue generating clinical departmentsUnder the direction of the Manager Revenue Integrity Analyst ndash Clinical Liaison the Revenue Integrity Analyst I plays a key role in a high profile group tasked with improving revenue results This position is integral to the Revenue Integrity Team to assist in ensuring charging accuracy for patient services and appropriately coded supported by clinical documentation so the related revenue is recorded in the proper department In turn this promotes revenue enhancement and compliance with laws and regulations with feedback and education to the hospital departments as neededThis position is responsible for assisting Revenue Cycle Services Coding Clinical Documentation Improvement CDI and other departments with resolution of billing issues andor denials requiring clinical expertise participating in external audit requests and special projects as needed This position also serves as an audit outcome educator with clinical staff in clinic and department settingsPosition ResponsibilitiesKey Areas of Responsibility This position is responsible for assisting Revenue Cycle Services Coding and other clinical departments with resolution of billing issues andor denials requiring clinical expertise participating in external audit requests and special projects as needed Performs denial resolution by analyzing denial data to identify root causes of preventable denials develop and implement corrective action plans to address root causes including collaborating with the clinical areas as well as other departments within revenue cycle Optimizes revenue cycle processes by validating evaluating and trending substantial amounts of data for presentation to all levels of the organization This position serves as an audit outcome educator with clinical staff in clinic and department settings Performs regular charge audits identifying any trends and implementing corrective actions when appropriate reporting to the Revenue Integrity Manager Provides guidance communication and education on correct charge capture documentation coding and billing processes Performs an integrated approach toward achieving operational efficiency complete regulatory compliance and total reimbursement In turn this promotes revenue enhancement and compliance with laws and regulations with feedback and education to the hospital departments as needed Evaluates current charging and coding structures and processes in revenue generating departments to ensure appropriate capture and reporting of revenue and compliance with government and third party payer requirements Assesses the accuracy of all charging vehicles including clinical systems and dictionaries encounter forms and other charge documents used to capture revenue This position is integral to the Revenue Integrity Team to assist in ensuring patient services are accurately charged appropriately coded supported by clinical documentation and that the related revenue is recorded in the proper department This position is responsible for assisting Revenue Cycle Services Coding and other departments with resolution of billing issues andor denials participating in external audit requests and special projects as needed Communicate CDM maintenance activities to clinical departments and information systems staff to implement necessary changes that affect charge identification capture reconciliation and claim processing Ensure changes within the charge description master CDM coincide and are implemented with clinical systems by reviewing flow sheets or charge capture preference lists Leads annual quarterly CPTreg HCPCS changes for accuracy compliance with applicable billing guidelines and optimization of reimbursement Monitor national state and local information to keep current with applicable regulatory and legislative changes and tailor the revenue integrity program accordinglyWorking RelationshipsThis Job Reports To Manager Revenue Integrity Analyst ndash Clinical LiaisonRequirements and SpecificationsEducationmiddot Bachelorrsquos degree with health management or financial emphasis andor health services Or equivalent experienceExperiencesect Five years of progressive on the job experience in an acute care hospitalLicensure Certification Registrationsect Minimum Certified Coder CCS CPC etcsect Preferred Certified Healthcare Revenue Integrity CHRILanguage Skillssect English Strong written and verbal communication skillsKnowledge Skills and Ability RequirementsProject workmiddot Requires the ability to manage large complex projects assignments investigate analyze and resolve issues at an important level Excellent communication presentation organizational analytical and critical thinking skillsmiddot Must approach problem solving challenges independently have strong attention to detail and enjoy working in a fast paced collaborative team based environmentProficienciesmiddot Extensive knowledge of revenue cycle processes and hospital medical billing to include CDM UB RAs and middot Extensive knowledge of code data sets to include CPT HCPCS and ICD middot Extensive knowledge of NCCI edits and Medicare LCDNCDsmiddot Extensive understanding of reimbursement theories to include OPPS MPFS and managed caremiddot Extensive working knowledge of health care compliancemiddot Extensive understanding of medical terminology anatomy and physiology along with clinical department activities The ability to review analyze and interpret managed care contracts billing guidelines and state and federal regulations along with assistance for all member entitiesmiddot The ability to work with and interpret detailed medical record documents and communicate effectively with physicians nursing staff leadership and other billing personnelSkillsmiddot Read write and speak English proficientlymiddot Strong analytical capabilitiesmiddot Excellent organizational skillsmiddot Proficiently read and interpret physician writingStrong ability tomiddot Function independentlymiddot Manage multiple prioritiesmiddot Listen and acknowledge ideas and expressions of others attentivelymiddot Converse clearly using appropriate verbal and body languagemiddot Collaborate with others to achieve a common goal through cooperationmiddot Influence others for positive and productive outcomesmiddot Utilize coding subject matter expertise to support new specialized coders and other projectsmiddot Work across the Hartford HealthCare SystemComputer skillsmiddot MS Office includes Word PowerPoint Excel and Outlook Windows operating system and the InternetWe 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 SpecificationsEducationmiddot Bachelorrsquos degree with health management or financial emphasis andor health services Or equivalent experienceExperiencesect Five years of progressive on the job experience in an acute care hospitalLicensure Certification Registrationsect Minimum Certified Coder CCS CPC etcsect Preferred Certified Healthcare Revenue Integrity CHRILanguage Skillssect English Strong written and verbal communication skillsKnowledge Skills and Ability RequirementsProject workmiddot Requires the ability to manage large complex projects assignments investigate analyze and resolve issues at an important level Excellent communication presentation organizational analytical and critical thinking skillsmiddot Must approach problem solving challenges independently have strong attention to detail and enjoy working in a fast paced collaborative team based environmentProficienciesmiddot Extensive knowledge of revenue cycle processes and hospital medical billing to include CDM UB RAs and middot Extensive knowledge of code data sets to include CPT HCPCS and ICD middot Extensive knowledge of NCCI edits and Medicare LCDNCDsmiddot Extensive understanding of reimbursement theories to include OPPS MPFS and managed caremiddot Extensive working knowledge of health care compliancemiddot Extensive understanding of medical terminology anatomy and physiology along with clinical department activities The ability to review analyze and interpret managed care contracts billing guidelines and state and federal regulations along with assistance for all member entitiesmiddot The ability to work with and interpret detailed medical record documents and communicate effectively with physicians nursing staff leadership and other billing personnelSkillsmiddot Read write and speak English proficientlymiddot Strong analytical capabilitiesmiddot Excellent organizational skillsmiddot Proficiently read and interpret physician writingStrong ability tomiddot Function independentlymiddot Manage multiple prioritiesmiddot Listen and acknowledge ideas and expressions of others attentivelymiddot Converse clearly using appropriate verbal and body languagemiddot Collaborate with others to achieve a common goal through cooperationmiddot Influence others for positive and productive outcomesmiddot Utilize coding subject matter expertise to support new specialized coders and other projectsmiddot Work across the Hartford HealthCare SystemComputer skillsmiddot MS Office includes Word PowerPoint Excel and Outlook Windows operating system and the InternetWe 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