Job Summary
Coordinates the maintenance of assigned departmental revenue cycle business systems, chargemasters, or other business processes, ensuring accuracy and consistency with departmental requirements and regulatory agency standards. Accountable for tasks impacting organizational cash flow, compliance, patient satisfaction and confidentiality. Monitors and trends data for assigned revenue cycle departments and tasks.
Essential Functions
Reviews and makes recommendations regarding hospital or professional charges / fee structure, revenue cycle business systems, or related processes. Researches patient access, coding and billing requirements when new procedures or regulatory changes are introduced.
Coordinates required updating of CPT / HCPCS codes, bill edits, third party payer changes or other revenue cycle regulatory requirements.
Assists in the resolution of revenue cycle issues, such as patient access, billing or denials, and develops systems to proactively address trends.
Facilitates the development of strategies for the evaluation and implementation of assigned tasks, such as recommended changes to business systems, reimbursement methodologies, or revenue cycle efficiencies, working collaboratively with teams / task forces / consultants.
Communicates, collaborates and acts as a consultant to others within and outside the department related to assigned tasks, in order to facilitate continuity and coordination of services. Acts as a liaison to outside consultants and keeps upper management / revenue cycle team informed concerning progress / problems.
Assesses the educational needs of others related to area of accountability and coordinates / implements appropriate teaching strategies or makes appropriate referrals.
Qualifications
2 years of relevant experience different areas of the health system such as billing, coding, reimbursement, technology & information solutions, and/or finance. Required
Primary Location
SITE - Butterworth Hospital - 100 Michigan St - Grand Rapids
Department Name
Professional Coding
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
40
Days Worked
Monday to Friday
Weekend Frequency
N/A
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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
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An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
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