Healthcare Financial Analyst
4 weeks ago
The University of Maryland Medical System (UMMS) is seeking a highly skilled Healthcare Financial Analyst to join our team. As a key member of our Finance Division, you will be responsible for managing the daily functions of the Case-mix Oversight function.
Key Responsibilities- Manage routine reviews of Inpatient & Outpatient Case-mix data for correct coding opportunities.
- Act as a liaison between Finance and hospital HIM and CDI departments at each facility.
- Develop new strategies for both Inpatient and Outpatient coding reviews to ensure proper reimbursement under Inpatient and Outpatient revenue constraint systems.
- Coordinate UMMC coding audit process to ensure maximum return on investment.
- Routinely evaluate 3M APG & APR grouping software for enhancement opportunities which will provide more appropriate reimbursement.
- Manage staff in routine evaluation of abstract tape integrity.
- Develop hospital specific processes to minimize impacts of PPC & PPR methodologies.
- Manage staff in the routine evaluation of hospital charging practices and their impact on CPV performance.
- Bachelor's Degree in Accounting or Finance or equivalent is required.
- Five years progressively responsible professional financial and/or reimbursement analysis experience, or equivalent, is required. In addition, three years supervisory/management experience is required.
- Knowledge of HSCRC and Medicare regulations is required. Proficiency in preparing and analyzing financial data and implementing changes.
- Highly proficient mathematical skills including calculating percentages, addition, subtraction, and multiplication are required.
- Proficient knowledge of supervising, monitoring daily work activities, evaluating, training and motivating the performance of subordinate technical, professional and clerical support staff.
- Advanced Microsoft Excel is required. Access skills preferred. Ability to operate a personal computer is required.
- Proficient organization and problem-solving skills are required to develop/implement efficient work processes, and to successfully resolve difficult, conflict-oriented situations. Ability to work effectively in a stressful work environment. Ability to handle confidential issues with integrity and discretion.
- Highly effective verbal and written communication skills are necessary to work with various clinical department heads, financial management and senior management staff and to supervisor professional and clerical staff.
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