Revenue Compliance Specialist 1

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  • Western Connecticut Health Network

    Revenue Compliance Specialist 1

    Company:
    Western Connecticut Health Network

    Location:
    Danbury
    CT
    06810
    US

    Category:
    Professional Services

    Degrees Required:
    Not Specified

    Employment Type:
    Full-Time

    Manages Others:
    No

    Requirements:
     

    Requirements:

    Western Connecticut Health Network is the premier healthcare provider in the region, committed to advancing the health and well-being of our patients and the surrounding communities of Western Connecticut and nearby New York State. We are a national model for clinical excellence and patient safety.

    As part of this growing, regional medical center Danbury Hospital and New Milford Hospital and their affiliates are investing in research, technology and education today -- to support and train the healthcare professionals of tomorrow. From expanding our state-of-the-art facilities to implementing the latest in electronic medical records, we offer more ways for you to reach your professional goals.

    Join a team that's focused on innovation, commitment and collaboration and find your future with us.

    Required: Associate Degree and minimum of three years job-related experience. AAPC COC or CPC, or eligible within one year. Medical coding knowledge and experience with CPT, HCPCS Level II and ICD-10-CM coding, preferably with knowledge of Outpatient Hospital coding/billing guidelines. Some knowledge of Government (Medicare/Medicaid) coding/billing, documentation and regulatory Guidelines. Excellent verbal and written communication skills Excel intermediate skills. Reporting to the Manager, Revenue Compliance, this position is responsible for assisting with Revenue Compliance functions across the Network including review and resolution of outpatient hospital coding and billing issues, and supporting Revenue Compliance related auditing, monitoring and education. The Compliance Specialist I will assist the Manager and Director with ensuring accuracy and appropriateness of billing, coding and documentation. This position works with all WCHN Clinical and Service Departments, Finance, PAFS, Coding & Documentation, ITG and Managed Care Contracting, and across entities, supporting the Manager and Director toward continuing improvement of Revenue Compliance.  Preferred: Proficiency with Microsoft Word, Excel and PowerPoint. Knowledge of CMS Medicare Outpatient Prospective Payment Systems (OPPS). Knowledge of Managed Care Payer Coding/Billing Guidelines. Experience with Cerner and/or Soarian Financials; Siemens Invision and/or Eclipsys preferred. Knowledge of Charge Description Master. Hours: 40 control hours.


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