Description
Provides leadership and oversight to the Revenue Integrity team, the Charge Description Master (CDM), and acts as a resource for clinical charging departments. Provides support and insight into Revenue Cycle processes including front-end avoidable denials, charge capture/ reconciliation, report trending and analytics, training/education as needed. Provides the overall timely and accurate capture of patient service revenue, oversight in the development, implementation, maintenance, improvements, and audit functions of Summa’s Charge Description Master (CDM). Serves as liaison, monitors and communicates current regulations and reporting requirements as set by government or other payers, and ensures any changes are properly implemented through project oversight. As lead, partners with Executive leadership throughout the organization in support of Revenue Integrity.
Requirements
Bachelor’s degree in Business Administration, Health Services, Finance or closely related field, or the equivalent in training and experience.
Master’s degree in Business Administration, Health Services, Finance, or closely related field – preferred.
Required Licenses/Certifications: Certification as a medical coder through AHIMA (CCS, CCS P) or through AAPC (CPC-H) and/or certification as a Revenue Cycle Integrity Professional (CRIP).
Experience & Training Required:
Three (3) years related professional/business experience in a technical/financial healthcare environment to include demonstrated experience in utilization of Epic that has provided leadership skills
