Coord, Revenue Cycle Day Shift

RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES:

• Responsible for documentation of the workflow in the charge capture processes. Identifies possible weaknesses in these processes and quantifies net revenue opportunities in the correction of such weaknesses.
• Develops changes to workflow processes and provides education and training to departmental staff to achieve net revenue opportunities.
• Monitors functions and activities to safeguard The Queen’s Medical Center (QMC) against exposure to penalties and fines by ensuring healthcare services are billed accurately and properly at all times.

• Continuous: sitting, finger dexterity, seeing, and repetitive arm/hand motions.
• Frequent: speaking, hearing.
• Occasional: standing, twisting body; lifting and carrying usual weights of 15 to 30 pounds; reaching above, at, and below shoulder level.
• Operates computer, telephone, copier and 10-key office equipment.

• Not substantially subjected to adverse environmental conditions.

• Bachelor’s degree in Business Administration, Finance or Education; or four (4) years in healthcare revenue cycle, training, or education may be substituted for educational requirement.

• In addition to the educational requirement, two (2) years experience in two (2) or more areas of the revenue cycle process, i.e., admitting/registration, charge capture including CDM maintenance, claims submission and follow-up, payment posting and collections in an acute care facility.
• Experience to demonstrate the following:
  • Knowledge of reimbursement regulations, including Medicare/Medicaid program requirement.
  • Knowledge of medical terminology.
  • Ability to develop and implement education/training program and activities.
  • Proficiency in computer applications such as Word and Excel.
  • Proficiency in computer-based hospital billing/records applications with preference given to experience with Epic systems.

Equal Opportunity Employer/Disability/Vet