Revenue Cycle Improvement Coordinator

Rochester Regional Health; Rochester; On-site; GBP 46,000 - 53,000; Full time

Job summary

A regional healthcare provider is seeking a Revenue Cycle Management Coordinator to independently audit and evaluate revenue cycle workflows. This role requires a Bachelor's degree in Business or Health Information and proficiency in Excel for data analysis. Responsibilities include maintaining the hospital chargemaster, managing departmental reviews, and performing audits to ensure compliance and optimize the revenue cycle processes. The position offers a competitive salary range of $62,400 to $71,500.

Qualifications

• Bachelor’s Degree in a relevant field is required.
• Proficient in Excel for data analysis and reporting.
• Strong ability to interpret and analyze data.

Responsibilities

• Maintain hospital chargemaster ensuring compliance and competitive pricing.
• Manage department chargemasters with reviews and updates.
• Perform ongoing audits to maintain integrity of chargemaster.

Skills

Excel for data analysis

Data interpretation

Verbal and written communication

Epic EHR management

Knowledge of medical terminology

Understanding of CPT/ICD codes

Billing procedures

Education

Bachelor’s Degree in Business, Accounting, or Health Information

Job description

SUMMARY

Under the guidance of the VP, Revenue Cycle Management, the coordinator independently audits and evaluates the Health System revenue cycle related workflows, identifies problem areas, provides solutions, and assists in the implementation of workflow improvements to assure an effective revenue cycle process. Maintains hospital charge master including participation in the Hospital Pricing Committee, provides recommendations for changes and coordinates the implementation of new/revised charges.

STATUS

Full-Time

LOCATION

Riedman Campus

DEPARTMENT

Revenue Integrity

SCHEDULE

Monday to Friday - ( 8 am - 4.30 pm)

Minimum Qualifications

• Bachelor’s Degree in Business, Accounting, Health Information, other health care related field required.

ATTRIBUTES

• Proficient in utilizing Excel for data analysis, reporting, and visualization.

• Strong ability to interpret data, identify trends, and make data-driven decisions.

• Excellent verbal and written communication skills for interacting with internal teams and stakeholders.

• Familiarity with Epic EHR management and workflows.

• Background in the healthcare industry, with an understanding of medical terminology, CPT/ICD codes, insurance claims, and billing procedures.

• Healthcare experience preferred.

RESPONSIBILITIES

• Maintain an accurate and complete hospital chargemaster (CDM) ensuring competitive pricing, appropriate reimbursement and compliance with governmental billing regulations

• Manage the department chargemasters by scheduling, coordinating, and monitoring departmental CDM reviews and updates. Documents all CDM recommendations.

• Complete the CDM review by obtaining appropriate department head approval, coordinating the effective date and completion of the finalized system changes, and rebilling and/or crediting of services. Report all potential compliance related issues.

• Develop and update CDM Review and charge services policies and procedures including overall health system, standard, and department specific as needed.

• Perform ongoing audits and education to hospital clinical departments on procedures to maintain compliance and integrity of the chargemaster

• Coordinate and monitor all new charge requests (procedures, supplies and pharmacy) including all pre work research, pricing and final approvals.

• Identify, coordinate, and monitor quarterly and annual HCPCS and APC changes.

• Monitor the weekly Department charge Entry Lag Report. Work with department leaders to achieve the health system goal of charge entry with 1-2 days where possible, including performing operational reviews when necessary.

• Identify and report revenue cycle opportunities to the Revenue Cycle Director meeting monthly / annual goals.

• Perform ongoing audits, analyze audit results and create recommendations for optimizing the revenue cycle functions.

• Manages follow up activities to keep revenue cycle initiatives moving forward in a timely manner

• Support financial and administrative oversight of managed care contracts with commercial payers

• Support contracting activities including preparation for negotiation, implementation and analysis of reimbursement performance

• Leads or participates in project teams designed to improve revenue cycle, as needed.

PHYSICAL REQUIREMENTS

S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

PAY RANGE

$62,400.00 - $71,500.00