Education Required - High School diploma or equivalent
Preferred - Bachelor's degree in a related field or an advanced degree in Finance, Accounting, Business/Health Administration
Advanced degree in Finance, Accounting, Business, Healthcare Administration or related field
Work ExperienceRequired - 10 years related professional experience OR 5 years related professional experience with a Bachelor's degree
Preferred Exprience- Revenue Integrity, chargemaster, charge capture, audit, coding, reimbursement, or revenue cycle operations experience.
- Epic charging workflow, Charge Router, workqueue, or operational troubleshooting experience.
- Experience conducting audits, investigations, trend analysis, and root cause analysis.
- Strong analytical and critical-thinking skills.
- Advanced Excel and data analysis skills preferred.
- Experience identifying opportunities and implementing sustainable process improvements.
- Ability to work independently while managing multiple priorities.
- Experience partnering with operational, financial, revenue cycle, and clinical stakeholders.
- Strong communication skills with the ability to present findings, recommendations, and solutions.
CertificationsPreferred - Related professional certification (e.g. CIA, CPA, CISA, CPC; CCS, etc.)
Knowledge Skills and Abilities (KSAs)- Must have computer skills and dexterity required for data entry and retrieval of patient information.
- Must be proficient with Windows-style applications and keyboard.
- Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
- Strong interpersonal skills
- Strong leadership skills
- Organizational skills
- Time management skills
- Project management skills
Job Duties- Facilitates processes/operations required for new services/location, service location changes, and new technology/equipment to ensure accurate and complete set-up and implementation.
- Participates in research, training, and education that supports the project.
- Escalates issues that may not put the project at risk; recommends solutions.
- Ensures data integrity and quality control.
- Ensures projects remain within budget.
Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintaisn and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
Physical and Environmental DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
Must be able to travel throughout and between facilities.
Must be able to sit for prolonged periods of time.
Must be able to work a flexible schedule (e.g. 24/7, weekend, holiday, on call availability).
Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.
There is no occupational risk for exposure to communicable diseases.
