Supv Revenue Integrity Special / Revenue Cycle Cmdr Coding

Hartford HealthCare • Farmington, CT

17d

About The Position

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. We invite you to become part of Connecticut’s most comprehensive healthcare network.

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:
Working under the direction of the Manager of Revenue Integrity, the Revenue Integrity Specialists Supervisor is primarily responsible for managing, coordinating, and implementing claim edits, denials, charge capture accuracy initiatives, compliance with regulatory requirements, and processes to improve revenue management and revenue protection and ensure the overall integrity of the charge capture process relevant to hospital claims. This position will facilitate the implementation of Revenue Integrity process improvement throughout the HHC organization.

Requirements

• Minimum: Bachelor’s Degree or equivalent Healthcare experience of 5 years.
• Healthcare experience required at a minimum of 5 years.
• 3-5 years of regulatory compliance and auditing experience.
• 3-5 years of charge capture experience
• Excellent communication skills both verbal and written
• Good interpersonal skills
• Able to establish good customer relationships with trust and respect
• Able to travel as needed
• Computer skills: navigation and edit resolution through various Web based systems. Ability to use email, Excel, Word

Nice To Haves

• Undergraduate degree preferred
• Clinical experience
• CCS, CCS-P, CPC, CPC-H, RHIT, RHIA

Responsibilities

• Provides leadership and direction by supporting and motivating (coaching and mentoring) staff. Manages the hiring and training of staff. Ensures that necessarily follow up occurs. Effectively assigns tasks to personnel with appropriate skill sets. Performs mid-annual and annual performance reviews.
• Provides and manages the support and education related to claim edits, denials, and charge capture of services to multiple staff levels including department leaders in compliance with state, federal, and other third-party payer guidelines. Charge accuracy claim edit, and denial accuracy and claim edit reduction.
• Develop and maintain an annual audit plan to proactively ensure accurate revenue capture and seek to continually improve charging processes while assuring compliance with standard charging guidelines for staff.
• Provide consultative and analytical services to operations and other personnel within the organization with respect to charging
• Develop, implement, and monitor adherence to departmental policies, procedures, and education with revenue integrity staff and clinical departments. Creates necessary operational standard work.
• Conducts special projects and special studies to facilitate revenue management and compliance as required new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc.
• Oversees charging related payor policies changes in collaboration with the Managed Care Department. Includes the tracking and implementation of any necessary changes in the EPIC system as it relates to the CDM, claim edits, EPIC claims logic etc.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager