Revenue Integrity Coordinator - Secaucus, United States - Hudson Regional Hospital

Hudson Regional Hospital Secaucus, United States

1 week ago

Description

Job Description

Hudson Regional Hospital, nestled in Secaucus, New Jersey, is a distinguished healthcare institution committed to building a healthier community through exceptional care, advanced technology, and knowledgeable physicians. We take pride in being the #1 choice for surgery, boasting the Institute for Robotic Surgery, equipped with the latest surgical robots and six SRC Center of Excellence designations. This places us at the forefront of robotic and minimally invasive surgery, with the unique distinction of being the world's first hospital to receive the SRC Center of Excellence designation in Robotic Spine Surgery.

If you're ready to meet this challenge and practice at the pinnacle of your license, we invite you to submit your application through our website at Be sure to review the specific requirements outlined there. Join us in shaping the future of healthcare at Hudson Regional Hospital.

Job Specific Competencies:

Maintains a thorough knowledge of third-party billing and collection requirements for payers assigned for handling. Utilizes independent judgment to compare actual reimbursement to expected reimbursement, review payer contract terms, claims billing, and clinical information to effectively reconcile underpaid accounts and maintain documentation to support this activity.

Responsible for building and or maintaining Contract Management solution as well asPrice Transparency fees and schedules. Provides support and insight into Revenue Cycle process improvement including charge capture, coding impact, billing, payer reimbursement and denial management. Promotes revenue cycle operational efficiency, data integrity and compliance with billing and regulatory guidelines Responsible for distributing monthly denial reports to departments. Responsible for management of the hospital chargemaster (CDM) in coordination with RCM AVP, HIM Director, and clinical departments. Charge Description Master (CDM) set-up and charge generation process.

This position acts as liaison, problem solver and facilitator for CDM issues with Administration, Insurance Companies, Clinical Departments, Health Information Management, Utilization Management, and Revenue Cycle.

Job Knowledge and Qualifications

Education

Bachelor's degree or equivalent experience. Accounting preferred
Demonstrated knowledge of project management applications helpful, i.e. Microsoft Project, Smartsheet, Trello. · Proficiency in standard software applications
Ability to build, cultivate and maintain key working relationships. · Excellent oral and written communication skills. · Demonstrated interpersonal and interdepartmental relationships that promote collaboration, trust, positive conflict resolution and staff development.

Certificates, Licenses, Registrations

Coding Certification from AAPC or AHIMA, or NAHRI's CHRI preferred.

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