Revenue integrity liaison

Company Name:
Elliot Hospital
Shift: Days
Hours: 40
Job Summary:
Reporting to the Revenue Integrity Manager, the Revenue Integrity Liaison I plays an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills, and the ability to meet deadlines while influencing, but not directly managing the work of others.
Independently performs Charge Description Master (CDM) and related audits with a focus on revenue cycle integrity, seeking guidance from Senior Analysts and Manager when needed.
Evaluates current charging and coding structures and processes in clinical departments to ensure appropriate capture and reporting of revenue and compliance with government and third party payor requirements.
Assesses the accuracy of all charging vehicles, including clinical systems and dictionaries, encounter forms and other charge documents.
Provides guidance, communication and education on correct charge capture, coding and billing processes to multiple clinical departments and facilities.
Participates in projects related to revenue cycle initiatives with a degree of autonomy appropriate to experience and project complexity.
Collaborates with Compliance, Budget Office, Patient Accounts, Health Information Services, Internal Audit and other Revenue and Finance departments on revenue management initiatives.
Analyzes billing error and denial data to identify root causes. Executes on work plans to correct identified deficiencies.
Analyzes changes to coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars and publications. Executes on work plans to adapt systems and processes to accommodate changes.
Must have revenue code, CPT and HCPC coding knowledge.
General understanding of multiple reimbursement systems including IPPS, OPPS, and Fee Schedule.
Excellent interpersonal and communication skills to positively interact with a variety of hospital personnel, including administrative and management staff.
Highly skilled experience and knowledge of Windows-based software required, including but not limited to Microsoft Windows, Outlook, Excel and Access.
Possess effective oral and written skills.
Ability to interpret and implement regulatory standards.
Working knowledge of multiple healthcare applications, including but not limited to SDK / Eclipsys, GE, SSI, 3M and CDM maintenance software.
Knowledge of accurate sources for updating all applicable code sets (CPT/HCPCS, ICD-9, etc.) inclusive of associated edits such as NCCI.
Possess effective time management skills to permit handling of large workload.
Bachelor s Degree or equivalent work experience required.
At least one year minimum recent experience in healthcare finance, revenue cycle management, CDM maintenance or related field required. Experience in an Academic setting preferred.
Dual Hospital and Professional Coding Certification(s) preferred. (CPC, CPC-H, CCS, CCSP)
Elliot Health System is an Equal Opportunity Employer and an Affirmative Action Employer.

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