Responsible for the timely, accurate, and comprehensive review of provider claims to optimize reimbursement and ensure compliance with all regulatory statutes.
Work with the department to identify trends and educational opportunities for providers to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty.
Oversee revenue cycle coding and manage provider claims processes to optimize reimbursement.
Support delivery of cost-effective, clinically competent, reliable healthcare aligned with Providence/Swedish core values.
Requirements
Bachelor's Degree Accounting, business administration or other closely related field. Or equivalent educ/experience.
5 to 10 years equivalent work experience which includes progressive management experience and provides the ability to perform the essential functions of the position.
5 years Progressively more responsible related work and personnel management in health care industry.