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.
This position will be the Clinical Charge Capture Specialist, reporting to the Senior Manager of Revenue Integrity for YNHHS, and responsible for a variety of System-wide reimbursement and revenue integrity functions, including reporting, analytical , technical and systems support. Additionally, involved with assisting in the revenue compilation for all System?s hospitals and physician practices, reporting and analysis related to the financial statement close process and supporting internal stakeholders, including accounting, SBO and revenue reporting on a variety of revenue related issues. This person would also be responsible to help ensure accurate and timely capture and transfer of charges from hospital information systems. Other duties include the accurate establishment of clinical charges and billing code, researching and resolving charge system problems. 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. This position will look to develop new opportunities for revenue enhancement including leading multi ?disciplinary work groups (Accounting, Reimbursement, Budget and Planning and the billing office) on projects associated with revenue data and reporting. Serves as technical lead in information systems, data analysis and other analytic needs related to revenue reporting and analysis. Assures the accuracy and accountability of reported revenue information.
Bachelor's Degree in business or related clinical discipline, or Licensed RN or Coding Certification (CPC/CCS) required.
With a Bachelor's Degree CCS Certification 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.
Knowledge of health care billing revenue process, accounting and auditing theory is required and assumed. Efficiency in Access and Excel is assumed. Assumes working knowledge in the field of health care, revenue reporting and/or reimbursement. Demonstrates ability to lead groups and work on numerous projects simultaneously.