Join Our Talent Network

View all jobs

Join our Talent Network
back to results
 

Revenue Integrity Analyst

Requisition ID:

21155056

Business Unit:

Hartford HealthCare Corp.

Location:

Newington, CT

Are you an HHC Employee? Click here to apply

 

Description

Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details:

Work where every moment matters.

Every day, almost 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.

JOB SUMMARY:

The Revenue Integrity serves as an integral part of the revenue optimization and compliance of the organization through leveraging an integrated, Epic based EMR to assist in the identification, reporting and resolution of any issues stemming from or with charge capture processes. Through the use of data, system reports, and analytics, this role will support the charge capture and accuracy efforts. This position will help to optimize revenue cycle processes by validating, evaluating, and trending large amount of data for presentation to all levels of the organization. This position also serves as technical support for Revenue Integrity staff, Revenue Cycle Departments and Clinical areas.

Essential Job Functions and Responsibilities:

  • Evaluates current charging and coding structures and processes in revenue generating departments to ensure appropriate capture and reporting of revenue and compliance with government and third party payer requirements.
  • Assesses the accuracy of all charging vehicles, including clinical systems and dictionaries, encounter forms and other charge documents used to capture revenue.
  • Collaborating when necessary to obtain missing or inaccurate information required to document and bill a service.
  • Performs regular charge audits, identifying any trends, and implementing corrective actions when appropriate.
  • Provides guidance, communication and education on correct charge capture, coding and billing processes.
  • Leads and participates in projects related to revenue cycle initiatives.
  • Analyzes billing error and denial data to identify root causes.
  • Executes on work plans to correct identified deficiencies.
  • Analyzes changes to coding and billing rules and regulations by utilizing appropriate reference materials, internet sources, seminars and publications.
  • Executes on work plans to adapt systems and processes to accommodate changes.

Qualifications

JOB QUALIFICATIONS:

Education: High School Graduate: Associates degree with health management or financial emphasis and/or health services or 5 years of healthcare work experience.
 

Experience: Three (3) years in a hospital based health care setting with experience in finance, revenue cycle operations, or reimbursement.
 

Certification: Certified Coder, (CCS, CPC, etc.)
 

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. Highly analytical thinker with talent for scrutinizing and synthesizing diverse data sources to identify areas of improvement in the revenue cycle process. Computer skills: Must have advanced MS Excel and/or MS Access skills with the ability to independently produce clear financial analysis. Epic System experience preferred.

Ability to be independent and self-directed as well as being an integral part of a team.

 

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.

 
share this
mail
 
Recent Jobs Viewed
Recent Job Searches
 

Hear from our team

 

We could tell you more, but why not let our team members handle it? Hear what these Hartford HealthCare employees have to say about working here, in their own words.

 
 
 
 
                           

Search Current Openings