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Sr. Revenue Integrity Liaison - Atlanta, United States - Piedmont Healthcare
Description
RESPONSIBLE FOR:
Plays an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation.
With responsibility for the most complex clinical departments and practices and acting with a high degree of autonomy, performs various audits with a focus on revenue cycle integrity.
Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills.
Provides oversight to junior analysts to meet deadlines and complete projects.
This position is responsible for providing assistance in maintaining systems, processes and work flows, for the timely and accurate recording of hospital revenue in regards to charge capture.
Serves as a facility liaison to PHC hospital staff in Maternal-Fetal Medicine, Infusion Therapy, Oncology, and Radiation Oncology clinical areas as it relates to charge capture/billing concerns and works with the operational and clinical departments to ensure optimal charge capture processes are established and maintained.
Using knowledge of state and federal guidelines, this position monitors compliance and ensures timely entry of patient charges.This position maximizes charge efficiency through (1) Monitoring revenue cycle processes and staff functions, (2) Supporting PHC's revenue capture and integrity through evaluating the accuracy of charge capture and billing functions and staying apprised of payer and/or regulatory updates, (3) Assisting in the design and implementation of charge capture/billing workflow improvements.
MINIMUM EDUCATION REQUIRED:
Bachelor's degree from a recognized college or university in business, healthcare or a closely related field.
MINIMUM EXPERIENCE REQUIRED:
Five (5) years of recent experience in healthcare finance, Revenue Integrity, Revenue Cycle Management, Practice Management or Revenue Operations required.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
AHIMA certification (e.g. RHIA, CCS, RHIT); AAPC certification (e.g. CPC, CPH, CA) or applicable clinical or professional certifications/licenses such as RN, RT, MT, RPH required.
ADDITIONAL QUALIFICATIONS:
Dual Hospital and Professional Coding Certification(s) preferred. (CPC, CPC-H, CCS, CCSP). Expert knowledge of CPT/HCPCS coding rules, Charge Master build/maintenance, regulations and practices. Master's degree preferred. RN and/or clinical operations experience a plus. Experience working with EPIC.
