Accts Rec & Denial Spec 2 / Rev Cycle Prof Svcs Adm

Hartford HealthCare • Farmington, CT • 4d ago

Work whereevery momentmatters. Every day, more than 40,000 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: The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate coding assignment for ICD-10, HCPC and CPT for coding consistent with regulatory, contractual, professional standards and healthcare revenue cycle industry practices. Position Responsibilities: Key Areas of Responsibility 1. Analyze provider documentation for appropriate assignment of Evaluation and Management (EM) CPT, ICD-10, and modifiers. Audit charts assigned timely and efficiently providing feedback from the audit to the educators. 2. Researches literature from regulatory groups such as; HHS/OIG, Medicare, Medicaid, NGS, etc., professional and peer organizations' practices/policies/guidelines to keep organization current with regulatory requirements and accepted audit practices. 3. Communicate with team members on findings from the chart audits to help support and create training material for the providers 4. Help support creating documentation templates designed for specialty/client, e.g., medical reports, monitoring/analysis reports, continuous auditing tools, etc. to insure appropriate documentation is captured for services rendered. 5. Identity's common documentation and coding issues and process improvement and effectively communicates with team the findings. Working Relationship: This Job Reports To (Job Title):Manager Audit and Education Requirements and Specifications: Education · Minimum: High School Diploma · Preferred: Associates Degree Experience · Minimum: o 3 years' work experience with CPT, HCPCS and ICD-10 coding conventions required. o Chart review of documentation of Evaluation and Management o Experience with interpreting Medicare, Medicaid and third-party billing and compliance regulations necessary. · Preferred: o Experience working with CMS, health insurers strongly desired. o Experience auditing documentation preferred. o Experience with Word, Excel and PowerPoint required. Knowledge of business systems, e.g., Epic, Healthicity, Intel Code preferred Licensure, Certification, Registration · Minimum: CPC, CCS-P, or CCS certification required and maintained thereafter. · Preferred: CPMA Knowledge, Skills and Ability Requirements: · Maintain required daily productivity · Function independently · Collaborate with others to achieve a common goal through mutual cooperation · Commitment to maintain complete confidentiality of patient health information · Will require remote auditing of records · Must be able to excel in a fast paced business environment handling multiple priorities. · Must be highly effective in both written and oral communication · Must be able to exercise appropriate judgment when making decisions · Good organizational skills · Proficiently read and interpret physician writing · Solid analytical capabilities 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: AdministrativeOrganization: Hartford HealthCare Corp. Title: Accts Rec & Denial Spec 2 / Rev Cycle Prof Svcs Adm Location: Connecticut-Farmington-9 Farm Springs Rd Farmington (10566) Requisition ID: 25161931

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