To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values—integrity, patient-centered, respect, accountability, and compassion—must guide what we do, as individuals and professionals, every day.
Responsible for supporting hospital pricemaster development and enhancement. Ensures accurate and timely capture and transfer of charges from multiple hospital information systems into current billing systems. Scope of activities include accurate establishment of clinical charges and billing codes, researching and resolving charge system problems and analysis of current systems for purposes of identifying system improvements. Analyzes and implements relevant, periodic regulatory changes. Documents system performance, to ensure accuracy, compliance and to enhance revenue. Works as part of a multi-disciplinary team that includes billing, medical records, coding, compliance, clinical leadership, finance and information systems. At times, leads projects for the team. Trains staff responsible for charging and coordinates with several other departments in the development of improved systems. Adheres to all regulatory, departmental and organizational guidelines for charging and specific regulations regarding 'pass through' item processing.
Bachelor's Degree in business or related clinical discipline, or Licensed RN or Certified Professional Coder (CPC) required.
With a Bachelor's Degree or Licensed RN, a minimum of five years experience in health care finance, billing, coding, direct clinical care, reimbursement, accounting, budget, compliance or insurance. With a CPC - a minimum of eight years of professional work experience in medical coding or closely related field. Proven experience leading and supervising work groups and projects. Experience using personal computer based automated systems, including Windows, Excel and Word is required. Requires strong interpersonal skills with good verbal and written communication skills. Experience with system design and implementation to include policy and procedure development and documentation is preferred. Knowledge and experience in charging, billing, revenue analysis, coding and/or cost accounting preferred.
Knowledge of medical records, CPT coding, billing and medical terminology is required. Demonstrated ability to lead groups and work on numerous projects simultaneously. Ability to influence the thinking of others and deal with all levels of management and different types of staff.