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Work where every moment matters. Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. _Position Summary:_ Reporting to the Revenue Integrity Director, this role is a subject matter expert focused on improving revenue results by analyzing clinical and financial processes.This role supports outpatient departments that include hospitals services for revenue generating clinical departments.Responsibilities includes oversight and leadership for a team responsible for capturing appropriate revenue and reimbursement, and denial prevention. Manages and monitors the results, data analysis and root cause issue and assists departments with corrective action plans. This position provides management and coordination of education and serves as a facility liaison to the HHC clinical departments as it relates to charging, late charges, medical necessity issues and reconciliation efforts that department staff should complete to meet billing periods.Responsible for building collaborative relationships with HHC clinical and administrative leadership and other key stakeholders (Billing, AR Follow-Up, HIM, and IT), Motivates and challenges staff to achieve the highest levels of performance, working in conjunction with all key stakeholders to prevent revenue deficits and optimize potential revenue. Responsible for managing the optimization of staff performance through process redesign, policy/procedure implementation, communications, continuing education, and professional development activities. _Position Responsibilities:_ Key Areas of Responsibility Leads a team focusing on denial prevention initiatives related to clinical documentation, charge assignment, and medical necessityproviding recommendations and corrective actions for improving denial trends and write-offs. Includesassist in the CPT code validation for charging purposes as it relates to CDM maintenance. Provides expertise to assist and educate staff on charging, CPT and regulatory guidelines including OPPS regulations.Function as a liaison to bridge any communication gaps and foster collaboration among departments. Requires a high level of service focus, project management, and the ability to lead, coach, and mentor analysts. Leads a team that evaluates, researches, and analyzes revenue and charging data to perform root cause analysis and ensure compliance with government payer requirements to determine patterns of charging that will increase the propensity for payment of charged services. Focuses on improving revenue results by analyzing clinical and financial processes.Works with the clinical areas directly to support charging accuracy, initiatives, and as a liaison from Revenue Integrity Prepares reports to the Revenue Integrity Director regarding issues, outcomes, and corrective actions. Develops relationships with various committees and groups to ensure continuity in processes that increase revenue capture. Maintains a rapport and frequent visibility with all contacts that will foster a trusting relationship, encourage discovery of revenue capture opportunities. _Working Relationships:_ This Job Reports To (Job Title):System Director Revenue Integrity Job Title(s) of HHC positions reporting to this Job:Revenue Integrity Analysts Number-Direct Reports:5 (3 FTE and contracting resource) Number-Indirect Reports: 0 _Requirements and Specifications:_ Education · Minimum:Bachelor's degree in healthcare administration, finance, business administration or related field, OR Ten (10) years of experience in healthcare related revenue cycle functions, including coding and billing guidelines may be substituted for a bachelor’s degree. · Preferred: Bachelor's degree in healthcare administration, finance, business administration or related field, OR Ten (10) years of experience in healthcare related revenue cycle functions, including coding and billing guidelines may be substituted for a bachelor’s degree. Experience · Minimum: Ten (10) years of experience with two years supervisory experience in healthcare CDM maintenance, charging practices, coding, billing, collections, and/or denials in a hospital/ambulatory setting. · Preferred: Ten (10) years of experience with two years supervisory experience in healthcare CDM maintenance, charging practices, coding, billing, collections, and/or denials in a hospital/ambulatory setting Licensure, Certification, Registration · Minimum: Valid Certified Coder Certification (i.e., CPC, CCS, CPC-H) · Preferred:Certified Healthcare Revenue Integrity (CHRI) Language Skills · English Knowledge, Skills, and Ability Requirements * · Coding Experience – Includes, diagnosis, CPT, and HCPCS codes. · Experience coding ambulatory surgery records and applying NCCI edit rules. · Understanding of Medicare’s Outpatient Prospective Payment System (OPPS) · Experience with denial data and associated remark codes, etc. *_We take great care of careers.___ With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment. *Job: Administrative *Organization: Hartford HealthCare Corp. *Title: *Mgr Revenue Integrity Analyst / Revenue Cycle Cmdr Coding Location: Connecticut-Farmington-9 Farm Springs Rd Farmington (10566) Requisition ID: 25151063