Hartford HealthCare
Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here.
The 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 organization.
With 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 system.
Position Summary
The Revenue Integrity Analyst – Level 2 serves as an integral part of both revenue optimization and compliance within the organization through leveraging an integrated, Epic based EMR to assist in the identification, reporting and resolution of any issues stemming from or with charge capture processes for both hospital and professional outpatient services. Position Responsibilities
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. Analyzes 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. Performs regular charge audits, identifying any trends, and implementing corrective actions when appropriate. Provides guidance, communication and education on correct charge capture, documentation, coding and billing processes. Lead annual, quarterly, CPT, HCPCS changes for accuracy, compliance with applicable billing guidelines, and optimization of reimbursement Communicate CDM maintenance activities to clinical departments and information systems staff to implement necessary changes that affect charge identification, capture, reconciliation, and claim processing. Monitor national, state, and local information to keep current with applicable regulatory and legislative changes and tailor the revenue integrity program accordingly. Leads and participates in projects and other duties related to revenue cycle initiatives and duties. Working Relationships
This Job Reports To (Job Title): Manager, Revenue Integrity Analyst Qualifications
Minimum: Bachelor’s Degree or equivalent Healthcare experience of 10 yrs. Preferred: Associates degree with health management or financial emphasis and/or health services or ten (10) years of healthcare work experience. Minimum: Three to four years of progressive on-the-job experience in an acute care hospital Preferred: Five (5) years in hospital-based health care setting with experience in facility revenue cycle operations Certified Coder, (CCS, CPC, etc.) English - Strong written and verbal communication skills Knowledge, Skills And Ability Requirements
Extensive knowledge of: ICD‑10-CM diagnostic and CPT/HCPCS procedure codes Clinical information related to responsibility areas Microsoft Office Products; Word, Excel Read, write and speak English proficiently. Strong analytical capabilities. Excellent organizational skills. Proficiently read and interpret physician writing. Function independently. Handle multiple priorities. Listen and acknowledge ideas and expressions of others attentively. Converse clearly using appropriate verbal and body language. Collaborate with others to achieve a common goal through mutual cooperation. Influence others for positive and productive outcomes. Utilize coding subject matter expertise to support new specialized coders and other projects. Work across the Hartford HealthCare System. We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.
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The Revenue Integrity Analyst – Level 2 serves as an integral part of both revenue optimization and compliance within the organization through leveraging an integrated, Epic based EMR to assist in the identification, reporting and resolution of any issues stemming from or with charge capture processes for both hospital and professional outpatient services. Position Responsibilities
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. Analyzes 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. Performs regular charge audits, identifying any trends, and implementing corrective actions when appropriate. Provides guidance, communication and education on correct charge capture, documentation, coding and billing processes. Lead annual, quarterly, CPT, HCPCS changes for accuracy, compliance with applicable billing guidelines, and optimization of reimbursement Communicate CDM maintenance activities to clinical departments and information systems staff to implement necessary changes that affect charge identification, capture, reconciliation, and claim processing. Monitor national, state, and local information to keep current with applicable regulatory and legislative changes and tailor the revenue integrity program accordingly. Leads and participates in projects and other duties related to revenue cycle initiatives and duties. Working Relationships
This Job Reports To (Job Title): Manager, Revenue Integrity Analyst Qualifications
Minimum: Bachelor’s Degree or equivalent Healthcare experience of 10 yrs. Preferred: Associates degree with health management or financial emphasis and/or health services or ten (10) years of healthcare work experience. Minimum: Three to four years of progressive on-the-job experience in an acute care hospital Preferred: Five (5) years in hospital-based health care setting with experience in facility revenue cycle operations Certified Coder, (CCS, CPC, etc.) English - Strong written and verbal communication skills Knowledge, Skills And Ability Requirements
Extensive knowledge of: ICD‑10-CM diagnostic and CPT/HCPCS procedure codes Clinical information related to responsibility areas Microsoft Office Products; Word, Excel Read, write and speak English proficiently. Strong analytical capabilities. Excellent organizational skills. Proficiently read and interpret physician writing. Function independently. Handle multiple priorities. Listen and acknowledge ideas and expressions of others attentively. Converse clearly using appropriate verbal and body language. Collaborate with others to achieve a common goal through mutual cooperation. Influence others for positive and productive outcomes. Utilize coding subject matter expertise to support new specialized coders and other projects. Work across the Hartford HealthCare System. We take great care of careers. With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.
#J-18808-Ljbffr