Supports Revenue Integrity’s mission to strengthen the interface between clinical departments and the charge improvement process.
This role helps ensure charging accuracy, appropriate coding supported by clinical documentation, and accurate revenue recording in the proper department. It works across Revenue Cycle Services, Coding, Clinical Documentation Improvement (CDI), and other departments to resolve billing issues and denials, participate in external audits, and support special projects.
The position also serves as an audit outcome educator for clinical staff and helps improve operational efficiency, regulatory compliance, and reimbursement across Hartford HealthCare.
Education
- Bachelor’s degree with a health management, financial, or health services emphasis, or equivalent experience
Experience
- 5 years of progressive on-the-job experience in an acute care hospital
Certification
- Minimum: Certified Coder (CCS, CPC, etc.)
- Preferred: Certified Healthcare Revenue Integrity (CHRI)
Knowledge and Skills
- Strong knowledge of revenue cycle processes and hospital/medical billing, including CDM, UB, RA, and 1500 forms
- Strong knowledge of CPT, HCPCS, and ICD-10 code sets
- Knowledge of NCCI edits and Medicare LCD/NCDs
- Understanding of reimbursement methodologies including OPPS, MPFS, and managed care
- Strong working knowledge of healthcare compliance
- Understanding of medical terminology, anatomy, physiology, and clinical department activities
- Ability to analyze medical record documentation and communicate with physicians, nursing staff, leadership, and billing personnel
- Strong analytical, organizational, presentation, and critical thinking skills
- Ability to manage large, complex projects and work independently in a fast-paced, collaborative environment
- Proficiency with MS Office and the Internet
Location
Connecticut, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 weeks ago