Trinity Health Revenue Integrity Consultant I in Hartford, Connecticut
As part of the revenue integrity department, the Revenue Integrity Consultant I is responsible for performing and reviewing regular audits to support the maintenance and enhancement of Trinity Health of New England?s charge capture and overall billing functions. In addition, this position will explore potential charge capture workflow enhancements and consistent charge structure according to industry standards, payer contracts, and denial trends. This role may also be involved in the design and implementation of proper data extraction and analytics processes across departments and service lines. This position maximizes charge efficiency through: (1) Monitoring revenue cycle processes and staff functions; (2) Supporting Trinity Health of New England?s revenue capture and integrity through evaluating the accuracy of charge capture, medical record documentation 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.
Education: Bachelor?s degree with health management or financial emphasis and/or health services preferred. 4 years of relative experience may substitute for degree.
Experience: Experience in finance, revenue cycle operations, or reimbursement.
Job Skills: Strong interpersonal, communication, project management, and process improvement experience using data to make impactful change is required. Quantitative and financial analysis skills. Demonstrated knowledge of revenue cycle processes, medical terminology and related coding and charge capture processes. Strong knowledge of CPT/HCPCS/ICD-10 coding, documentation requirements to support services provided, billing and reimbursement.
Job Number: 00115221
Location: Hartford, CT
Organization Name: Trinity Health Of New England
Facility: NESF - Saint Francis Hospital
Employment Type: Full time
Shift: Day Shift