Hartford HealthCare Corp.
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DescriptionJob Schedule: Full Time
Work where every moment matters.
Every day, over 30,000 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.
Under the supervision of the Health Information Management (HIM) Site Manager or System Manager, follows up on all activities of the local HIM department; Supervise and maintains the daily activities of Regional operations; which includes process and workflows, quality assurance and improvement initiatives, and supervision and competency of staff; Teach and educate staff on new systems and monitor for same. Local operations may include, release of information, scanning records and transcription services, analysis of record completion, and birth registry.
Key Areas of Responsibility:
Serve as a subject matter expert in processing denials including but not limited to: Medicare Recovery Audit Contractor (RAC), Target Probe & Educate (TPE), Comprehensive Error Rate Testing (CERT), Payment Error Rate Measurement (PERM), Supplemental Medical Review Contractor (SMRC), Coding Validation Review, Physician Advisor appeals, etc. Serve as a subject matter expert in Cobius Audit Manager and assist in reconciling financial data in Cobius to provide accurate reporting. Monitors hospital billing (HB) and professional billing (PB) work queues to minimize preventable denials associated with timely submission of health record documentation. Processes State of CT Department of Public Health (DPH) Investigational requests, with notification/coordination with Risk Management. Interact with DPH Audit Staff in a timely and courteous manner. Processes request from Risk Management for patient safety. Processes and monitor request from HHC Legal claims; Expedites urgent requests for protected health information as needed.
Creates a supportive and positive environment for staff, promoting motivation, teamwork and high performance levels; Establishes performance expectations of staff, coaches, develops and mentors and evaluate performance; Schedules, conducts regular individual and team meetings to disseminate information, performance feedback and development.
# of Workers Responsible for: # Direct Reports 5-10
Nature of Supervision: Day-to-day supervision of HIM staff and stand work within their region and facilities.
Internal: Direct supervision of HIM staff. Strong working relationships with medical staff, unit and program managers, quality management, risk management, and leadership team.
External: Strong working relationships with external customers, patients, families, legal representatives, regulators, surveyors, attorneys, etc.
Requirements and Specifications:
Preferred: Bachelor’s Degree
Licensure, Certification, Registration:
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.