Epic Resolute Hospital Billing Manager
3 weeks ago
This is a hybrid role that will require being onsite 2-3 times per week.
Key Responsibilities- Oversee and manage compliance with the Charge Description Master (CDM) and the work of the revenue integrity team by facilitating implementation of standardized processes and accountability to support efficient and effective charge capture outcomes.
- Develop annual charge capture work plans and provide ongoing guidance/training to Revenue Integrity staff to meet their goals while ensuring that the defined processes and policies are in place to improve compliance with governmental programs, data integrity issues, and related end-user customer service satisfaction with the Revenue Integrity Department.
- Oversee and validate workflows and processes to ensure accurate and timely cost/charge capture and billing compliance; direct education and training to facilitate best practices in Revenue Integrity.
- Recognized as an HSCRC service line subject matter expert. Propose, implement, review, and modify all work related to cost/charge capture and the CDM in compliance with HSCRC, federal, state, and local laws/regulations.
- Build relationships with stakeholders and use critical thinking skills to provide systems solutions to meet business needs with guidance from the leadership team.
- Manage, train, recruit, coach, and develop Revenue Integrity Specialists within the specified functional area.
- Manage own time to accomplish tasks with minimal oversight and serve as a mentor to others on the team.
- Conduct project management activities as required by the project, oversee applications projects, and execute projects and deliverables with general supervision.
- Bachelor's Degree required. Specialization in Healthcare, Finance, Accounting, or equivalent related subject is preferred.
- CPC certification required within 18 months of hire.
- Five (5) + years of progressively responsible professional financial, reimbursement, or analysis experience is required.
- Three (3) years supervisory/management experience is required.
- Minimum of two (2) years of experience in an Epic environment with proficiency in at least one Epic product preferred.
- Epic Resolute Hospital Billing charging proficiency required within 12 months of hire.
- Revenue Integrity/CDM build/maintenance experience required.
- Expert knowledge of HSCRC & Medicare regulations is required.
- General knowledge of HSCRC reimbursement methodologies is preferred.
- Expert knowledge of charge master components, Epic HB Resolute functionality, and familiarity with various applications.
- Highly effective at supervising, monitoring daily work activities, evaluating, training, and motivating performance of subordinate technical, professional, and clerical support staff.
- Knowledge of ICD-10 and AMA Current Procedure Terminology (CPT) preferred.
- AAPC Medical Coding certification is preferred.
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