Hartford HealthCare
Rev Integrity Analyst 1 - CL / Revenue Cycle Cmdr Coding
Hartford HealthCare, Farmington, Connecticut, us, 06030
Rev Integrity Analyst 1 - CL / Revenue Cycle Cmdr Coding
Location:
9 Farm Springs Rd, Farmington, CT 10566 Company:
Hartford HealthCare
Position Summary:
The Rev Integrity Analyst 1 supports HHC’s revenue integrity mission by ensuring accurate charging, coding, and revenue capture across hospitals and professional services. The role collaborates with Revenue Cycle Services, Coding, Clinical Documentation Improvement (CDI), and other departments to resolve billing issues, conduct audits, and provide education on compliance and best practices.
Position Responsibilities
Assist Revenue Cycle Services, Coding, and clinical departments in resolving billing issues and/or denials requiring clinical expertise, and participate in external audit requests.
Analyze denial data to identify root causes, develop corrective action plans, and implement them with clinical teams and other revenue‑cycle departments.
Conduct regular charge audits, identify trends, and implement corrective actions; report findings to the Revenue Integrity Manager.
Provide guidance, communication, and education on correct charge capture, documentation, coding, and billing processes.
Evaluate current charging and coding structures to ensure accurate capture and compliance with government and third‑party payer requirements.
Maintain the Charge Description Master (CDM) and lead annual and quarterly updates for CPT®, HCPCS, and other relevant codes.
Monitor national, state, and local regulatory changes and adapt the revenue integrity program accordingly.
Qualifications Education
Bachelor’s degree with emphasis in health management, finance, or health services; or equivalent experience.
Experience
Five (5) years of progressive on’the job experience in an acute‐care hospital.
Licensure, Certification, Registration
Minimum: Certified Coder (CCS, CPC, etc.).
Preferred: Certified Healthcare Revenue Integrity (CHRI).
Language Skills
English – strong written and verbal communication skills.
Knowledge, Skills, and Ability Requirements
Extensive knowledge of revenue cycle processes, hospital billing, and coding datasets (CPT, HCPCS, ICD‐10, NCCI edits, Medicare LCD/NCDs).
Strong analytical, organizational, and critical‐thinking skills.
Experience managing large, complex projects and resolving issues independently.
Proficient in MS Office and Windows operating systems.
Strong Ability To
Function independently and manage multiple priorities.
Communicate clearly with physicians, nurses, leadership, and billing personnel.
Collaborate across the Hartford HealthCare system and influence others for positive outcomes.
Support new specialized coders and special projects using coding expertise.
We take great care of careers. Hartford HealthCare offers exciting opportunities for growth and a competitive benefits program designed to support work/life balance. Every moment matters – your moment is now.
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9 Farm Springs Rd, Farmington, CT 10566 Company:
Hartford HealthCare
Position Summary:
The Rev Integrity Analyst 1 supports HHC’s revenue integrity mission by ensuring accurate charging, coding, and revenue capture across hospitals and professional services. The role collaborates with Revenue Cycle Services, Coding, Clinical Documentation Improvement (CDI), and other departments to resolve billing issues, conduct audits, and provide education on compliance and best practices.
Position Responsibilities
Assist Revenue Cycle Services, Coding, and clinical departments in resolving billing issues and/or denials requiring clinical expertise, and participate in external audit requests.
Analyze denial data to identify root causes, develop corrective action plans, and implement them with clinical teams and other revenue‑cycle departments.
Conduct regular charge audits, identify trends, and implement corrective actions; report findings to the Revenue Integrity Manager.
Provide guidance, communication, and education on correct charge capture, documentation, coding, and billing processes.
Evaluate current charging and coding structures to ensure accurate capture and compliance with government and third‑party payer requirements.
Maintain the Charge Description Master (CDM) and lead annual and quarterly updates for CPT®, HCPCS, and other relevant codes.
Monitor national, state, and local regulatory changes and adapt the revenue integrity program accordingly.
Qualifications Education
Bachelor’s degree with emphasis in health management, finance, or health services; or equivalent experience.
Experience
Five (5) years of progressive on’the job experience in an acute‐care hospital.
Licensure, Certification, Registration
Minimum: Certified Coder (CCS, CPC, etc.).
Preferred: Certified Healthcare Revenue Integrity (CHRI).
Language Skills
English – strong written and verbal communication skills.
Knowledge, Skills, and Ability Requirements
Extensive knowledge of revenue cycle processes, hospital billing, and coding datasets (CPT, HCPCS, ICD‐10, NCCI edits, Medicare LCD/NCDs).
Strong analytical, organizational, and critical‐thinking skills.
Experience managing large, complex projects and resolving issues independently.
Proficient in MS Office and Windows operating systems.
Strong Ability To
Function independently and manage multiple priorities.
Communicate clearly with physicians, nurses, leadership, and billing personnel.
Collaborate across the Hartford HealthCare system and influence others for positive outcomes.
Support new specialized coders and special projects using coding expertise.
We take great care of careers. Hartford HealthCare offers exciting opportunities for growth and a competitive benefits program designed to support work/life balance. Every moment matters – your moment is now.
#J-18808-Ljbffr