Farmington, Connecticut, USA
11 days ago
RI Business System Analyst / 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 SummaryCreate prepare and maintain a variety of reports required for Revenue Integrity leadership Support process improvement for hospital billing and professional billing revenue cycle analyze data and provide recommendations to the Revenue Integrity leadership teamPosition ResponsibilitiesKey Areas of Responsibility Identifies work processes that can be improved upon eliminated or handled through electronic processes makes appropriate changes or recommendations to workflows breaks down identified problems into small components understands underlying issues simplifies and processes complex issues understands the difference between critical and unimportant factsdetails Includes the oversight of routing professional services to the hospital billing team through the Exception Billing Logic workgroup and EPIC files based on regulatory and contract review Participates and implements any payor policy changes government and non government as it relates to HB charging Includes CPT and rev code alt logic in addition to any system logic change in EPIC Revenue Integrity appointed charge expert for outpatient Behavioral Health servicesmiddot Proactively offers solutions to reporting needs by coordinating reporting efforts between departments and contributing to a coordinated hospital wide reporting strategymiddot Communicates effectively with operational staff by translating the technical specifications of a report into non technical language Routinely Analyzes Revenue Integrity Work Queue data to help identity root causes to issues affecting cash flow and net revenue Supervises and monitors charging data for new and relocated departments by post implementation reports and validation from charging data point to claims Maintains a list of off campus locations and oversees the locations based on regulatory requirements Collaborates with the professional side regarding hospital outpatient department place of service files in EPIC TeachingEducation ndash CORA support to assist with charge reconciliation report viewing and analysis Oversees the rebill and refund process in collaboration with billing Care Connect and Compliance Maintains rebilling processes Creates and provides reporting to the Revenue Integrity Director outcomes for resolved issues status reports and regular updates pertaining to regulatory requirementsWorking RelationshipsThis Job Reports To System Director Revenue IntegrityNature of Supervision This position is responsible for overseeing Revenue Integrity projects and reportingWork 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 SummaryCreate prepare and maintain a variety of reports required for Revenue Integrity leadership Support process improvement for hospital billing and professional billing revenue cycle analyze data and provide recommendations to the Revenue Integrity leadership teamPosition ResponsibilitiesKey Areas of Responsibility Identifies work processes that can be improved upon eliminated or handled through electronic processes makes appropriate changes or recommendations to workflows breaks down identified problems into small components understands underlying issues simplifies and processes complex issues understands the difference between critical and unimportant factsdetails Includes the oversight of routing professional services to the hospital billing team through the Exception Billing Logic workgroup and EPIC files based on regulatory and contract review Participates and implements any payor policy changes government and non government as it relates to HB charging Includes CPT and rev code alt logic in addition to any system logic change in EPIC Revenue Integrity appointed charge expert for outpatient Behavioral Health servicesmiddot Proactively offers solutions to reporting needs by coordinating reporting efforts between departments and contributing to a coordinated hospital wide reporting strategymiddot Communicates effectively with operational staff by translating the technical specifications of a report into non technical language Routinely Analyzes Revenue Integrity Work Queue data to help identity root causes to issues affecting cash flow and net revenue Supervises and monitors charging data for new and relocated departments by post implementation reports and validation from charging data point to claims Maintains a list of off campus locations and oversees the locations based on regulatory requirements Collaborates with the professional side regarding hospital outpatient department place of service files in EPIC TeachingEducation ndash CORA support to assist with charge reconciliation report viewing and analysis Oversees the rebill and refund process in collaboration with billing Care Connect and Compliance Maintains rebilling processes Creates and provides reporting to the Revenue Integrity Director outcomes for resolved issues status reports and regular updates pertaining to regulatory requirementsWorking RelationshipsThis Job Reports To System Director Revenue IntegrityNature of Supervision This position is responsible for overseeing Revenue Integrity projects and reportingRequirements and SpecificationsEducationmiddot Bachelorrsquos degree in Health Care Management Business Administration or related fieldExperiencemiddot Minimumo Five yearsrsquo experience in hospitalprofessional billing revenue cycle or medical office settingo Prior project management experience preferredo Strong Excel skillso Strong problem solving and analytical skillsmiddot Preferredo Seven yearsrsquo experience in hospitalprofessional billing revenue cycle or medical office settingo Experience in creating EPIC charging reportsKnowledge Skills and Ability Requirementsmiddot Ability to create structure and organize teams to work independentlymiddot Excellent communication and interpersonal skillsmiddot Demonstrated ability to build and maintain strong and strategic business relationshipsmiddot Strong problem solving and critical thinking skills with the ability to execute with limited information and ambiguitymiddot Persuasive collaborative business acumen with the ability to influence othersmiddot Demonstrated ability to manage multiple prioritiesmiddot Demonstrated ability to work in a fast paced working environmentmiddot Ability to work comfortably with a variety of stakeholders at multiple organizational levelsWe 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 in Health Care Management Business Administration or related fieldExperiencemiddot Minimumo Five yearsrsquo experience in hospitalprofessional billing revenue cycle or medical office settingo Prior project management experience preferredo Strong Excel skillso Strong problem solving and analytical skillsmiddot Preferredo Seven yearsrsquo experience in hospitalprofessional billing revenue cycle or medical office settingo Experience in creating EPIC charging reportsKnowledge Skills and Ability Requirementsmiddot Ability to create structure and organize teams to work independentlymiddot Excellent communication and interpersonal skillsmiddot Demonstrated ability to build and maintain strong and strategic business relationshipsmiddot Strong problem solving and critical thinking skills with the ability to execute with limited information and ambiguitymiddot Persuasive collaborative business acumen with the ability to influence othersmiddot Demonstrated ability to manage multiple prioritiesmiddot Demonstrated ability to work in a fast paced working environmentmiddot Ability to work comfortably with a variety of stakeholders at multiple organizational levelsWe 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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