Manager, Revenue Integrity
Connecticut Children's
full-time
Posted on:
Location Type: Hybrid
Location: East Hartford • Connecticut • United States
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About the role
- Optimize workflows and related information systems to ensure accurate, complete, timely documentation, charges and coding of services
- Maintain extensive knowledge of all aspects of the revenue cycle including registration, documentation, coding, billing and collection processes
- Analyze and assess diverse data relating to the revenue cycle
- Provide essential quality reports and improvement recommendations to management for all clinical service lines and revenue cycle departments
Requirements
- Bachelor’s degree in Healthcare related field, Master’s Degree Preferred
- Associate’s degree with 10+ years’ experience directly related to healthcare and Revenue Integrity in lieu of a Bachelor’s degree
- Seven years minimum recent and direct related experience
- Previous management experience in Clinical service area(s), Revenue Integrity, Revenue Cycle Area(s)
- Strongly Preferred: Previous clinical experience
- Active Certified Coding Specialist (CCS) and/or Certified Professional Coder and/or Certified Outpatient Coder and/or Hospital (CPC-H) (or attainment within one (1) year of hire)
- Preferred: Dual Certifications i.e., CPC and CCS
- Extensive clinical coding knowledge; clinical experience preferred
- Solid understanding of the reimbursement systems including IPPS, OPPS, DRG, etc.
- State and federal and third party payer regulations
- CPT/HCPCS/ ICD classification, medical terminology, billing and reimbursement processes
- Extensive knowledge of charge creation, processing and reconciliation in a health care environment
- Strong quantitative, analytic, and problem-solving skills
- Strong organizational skills
- Strong time management, attention to detail, and follow through
- Excellent interpersonal and communication skills
- Microsoft Office, Outlook, Excel; Epic experience highly desirable
- Well developed, formal presentation skills
- Ability to effectively collaborate with providers and staff at all levels
- Manage day to day operations managing staff and ensuring efficient workflows
- Analyze and interpret billing guidelines, state, federal and third party payer regulations
- Organize resources and establish priorities
- Develop, plan and implement short and long-range goals
- Foster a cooperative work environment
- Effectively manage staff, ensure employee development and oversee performance management
Benefits
- Health insurance
- Pension plan
- Vacation time
- Professional development opportunities
- Flexible working arrangements
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
revenue cycleclinical codingCPTHCPCSICD classificationbilling processesreimbursement systemsdata analysisquality reportingworkflow optimization
Soft Skills
quantitative skillsanalytical skillsproblem-solving skillsorganizational skillstime managementattention to detailinterpersonal skillscommunication skillscollaborationstaff management
Certifications
Certified Coding Specialist (CCS)Certified Professional Coder (CPC)Certified Outpatient CoderHospital (CPC-H)