RI Business System Analyst / Revenue Cycle Cmdr Coding

W ork where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common : Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.

With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Position Summary :

Create, prepare and maintain a variety of reports required for Revenue Integrity leadership. Support process improvement for hospital billing and professional billing revenue cycle, analyze data, and provide recommendations to the Revenue Integrity leadership team.

Position Responsibilities :

Key Areas of Responsibility

1. Identifies work processes that can be improved upon, eliminated, or handled through electronic processes; makes appropriate changes or recommendations to workflows; breaks down identified problems into small components, understands underlying issues, simplifies and processes complex issues; understands the difference between critical and unimportant facts / details. Includes the oversight of routing professional services to the hospital billing team through the Exception Billing Logic workgroup and EPIC files based on regulatory and contract review.

2. Participates and implements any payor policy changes (government and non-government) as it relates to HB charging. Includes CPT and rev code alt logic in addition to any system logic change in EPIC.

3. Revenue Integrity appointed charge expert for outpatient Behavioral Health services.

• Proactively offers solutions to reporting needs by coordinating reporting efforts between departments and contributing to a coordinated hospital wide reporting strategy.
• Communicates effectively with operational staff by translating the technical specifications of a report into non-technical language.

4. Routinely Analyzes Revenue Integrity Work Queue data to help identity root-causes to issues affecting cash flow and net revenue.

5. Supervises and monitors charging data for new and relocated departments by post implementation reports and validation from charging data point to claims.

6. Maintains a list of off campus locations and oversees the locations based on regulatory requirements. Collaborates with the professional side regarding hospital outpatient department place of service files in EPIC.

7. Teaching / Education - CORA support to assist with charge reconciliation report viewing and analysis.

8. Oversees the rebill and refund process in collaboration with billing, Care Connect, and Compliance. Maintains rebilling processes.

9. Creates and provides reporting to the Revenue Integrity Director outcomes for resolved issues, status reports, and regular updates pertaining to regulatory requirements.

Working Relationships :

This Job Reports To : System Director Revenue Integrity

Nature of Supervision : This position is responsible for overseeing Revenue Integrity projects and reporting.

Qualifications :

Requirements and Specifications :

Education

Experience

o Five (5) years' experience in hospital / professional billing revenue cycle or medical office setting.

o Prior project management experience preferred.

o Strong Excel skills.

o Strong problem solving and analytical skills.

o Seven (7) years' experience in hospital / professional billing revenue cycle or medical office setting.

o Experience in creating EPIC charging reports.

Knowledge, Skills and Ability Requirements :

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure work / life balance. Every moment matters. And this is your moment.