Revenue Cycle Compliance Coordinator

Fairview Health Services•Minneapolis, MN

About The Position

The Revenue Cycle Compliance Coordinator designs, implements, and monitors the Fairview system’s revenue cycle compliance program. The position focuses on compliance matters related to HIMS coding, charge capture, billing functions, confidentiality policies, medical record documentation practices and standards, and other regulatory concerns. It also conducts compliance-related process analysis, education and training, auditing, action-plan development, and special projects. The coordinator serves as a subject matter expert and liaison across corporate compliance, revenue cycle, and clinical operations. The role supports compliance planning, staff education, audit responses, trend analysis, policy and procedure development, reconciliations, and process improvement while ensuring work is accurate, timely, and compliant.

Requirements

Bachelor of Arts in Health Information Management or a related field, or four years of experience in an applicable business-related field in lieu of a bachelor’s degree.
Five years of experience in revenue cycle management.
RHIT, CCS, CPC, CCS-P, RHIA, or CHC certification upon hire.

Nice To Haves

Master of Arts in an applicable field, preferably Health Information Management or a related field, or six years of experience in an applicable business-related field in lieu of a master’s degree.
Ten years of experience in revenue cycle management.

Responsibilities

Serve as a subject matter expert in guidelines and regulations associated with revenue cycle functions.
Act as a liaison between corporate compliance, revenue cycle, and clinical operations.
Develop and implement the annual revenue cycle compliance plan and ensure its expectations are achieved.
Educate and train staff on compliance topics, and coordinate education on charging, coding, billing, regulatory, and payor changes.
Coordinate responses and action plans for internal and external audits, ensuring timely responses and completion of commitments.
Review internal and external data trends to evaluate outliers and areas of risk.
Audit department processes to assess compliance.
Coordinate development and approval of department policies and procedures to ensure compliance with regulations, rules, and laws.
Ensure timely and accurate work and contribute to collecting expected payment.
Understand and follow the revenue cycle escalation policy.
Coordinate and support multiple specialized tasks, functions, and roles to meet task needs.
Maintain knowledge of and comply with relevant laws, regulations, policies, procedures, and standards.
Work cross-functionally with departments to align and improve shared compliance processes.
Identify or assist in identifying data trends, outliers, and risks to enable process improvement.
Organize and perform reconciliations, identify trends requiring attention, and ensure accuracy, quality, and compliance in designated work areas.
Adjust care or service approaches to reflect the developmental level and cultural differences of the population served, as applicable.
Partner with patients and caregivers in care and decision-making, communicate respectfully, maintain a safe environment, individualize plans of care, adapt clinical interventions, and provide education based on assessed learning needs, as applicable.
Fulfill organizational requirements, including completing role-relevant learning and complying with applicable laws, regulations, policies, procedures, and standards.
Foster a culture of improvement, efficiency, and innovative thinking.
Perform other duties as assigned.