- CPT Coding
- Hospital Experience
Leads the overall strategy and optimization of revenue cycle operations, systems, policies and procedures to apply improvement to insurance eligibility processes, charges, claims, payments, collections and A/R, denials, and reporting of results and analysis. In additions, this position will oversee concurrent and retrospective auditing, proper coding, credentialing, insurance contract review, and customer service efforts related to revenue cycle activities. Duties and responsibilities include but not limited to the following: Develops strategy & collaborates with Director of Finance and CFO to ensure timely development revenue capture processes. Coordinates with Compliance Officer & staff to resolve CDM compliance issues & improve charge capture accuracy in a timely manner. Directs the Revenue strategies team in its periodic comprehensive reviews & ongoing refinement of the billing Charge Master files. Oversees accounts receivable management of all accounts. Provides sound leadership and financial oversight of Patient Financial Services, Coding/Auditing, HIM, and Registration. Accountable for ensuring Coding & Auditing practices are compliant.
Responsible for the selection, direction, supervision, evaluation and support of staff. Exhibits the following Leadership qualities: Key Indicator: Employee Satisfaction (Measurement shall be based upon improvement plan(s) implemented and goals obtained). Key Indicator: Professional Growth (Measurement shall be based upon participation). Key Indicator: Financial & Budgetary Review and Management (Measurement shall be based upon monthly financials and productivity reports).
5-10 years experience in hospital finance with concentration in reimbursement & revenue generation. Critical Access Hospital experience is required
Working knowledge of CPT-4, Revenue Code & HCPCS coding
Bachelor's degree in Business Administration or clinical field, required.