Rochester Regional Health · 5 hours ago
Revenue Cycle Improvement Coordinator
Rochester, NY
Full-time
Onsite
Entry, Mid Level
$62K/yr - $72K/yrRochester Regional Health is a healthcare provider seeking a Revenue Cycle Improvement Coordinator. The role involves auditing and evaluating revenue cycle workflows, identifying areas for improvement, and implementing solutions to enhance the revenue cycle process.
Health CareHospitalMedicalPrimary and Urgent CareWellness
Responsibilities
Maintain an accurate and complete hospital chargemaster (CDM) ensuring competitive pricing, appropriate reimbursement and compliance with governmental billing regulations
Manage the department chargemasters by scheduling, coordinating, and monitoring departmental CDM reviews and updates. Documents all CDM recommendations
Complete the CDM review by obtaining appropriate department head approval, coordinating the effective date and completion of the finalized system changes, and rebilling and/or crediting of services. Report all potential compliance related issues
Develop and update CDM Review and charge services policies and procedures including overall health system, standard, and department specific as needed
Perform ongoing audits and education to hospital clinical departments on procedures to maintain compliance and integrity of the chargemaster
Coordinate and monitor all new charge requests (procedures, supplies and pharmacy) including all pre work research, pricing and final approvals
Identify, coordinate, and monitor quarterly and annual HCPCS and APC changes
Monitor the weekly Department charge Entry Lag Report. Work with department leaders to achieve the health system goal of charge entry with 1-2 days where possible, including performing operational reviews when necessary
Identify and report revenue cycle opportunities to the Revenue Cycle Director meeting monthly / annual goals
Perform ongoing audits, analyze audit results and create recommendations for optimizing the revenue cycle functions
Manages follow up activities to keep revenue cycle initiatives moving forward in a timely manner
Support financial and administrative oversight of managed care contracts with commercial payers
Support contracting activities including preparation for negotiation, implementation and analysis of reimbursement performance
Leads or participates in project teams designed to improve revenue cycle, as needed
Qualification
Required
Bachelor's Degree in Business, Accounting, Health Information, other health care related field required
Proficient in utilizing Excel for data analysis, reporting, and visualization
Strong ability to interpret data, identify trends, and make data-driven decisions
Excellent verbal and written communication skills for interacting with internal teams and stakeholders
Familiarity with Epic EHR management and workflows
Background in the healthcare industry, with an understanding of medical terminology, CPT/ICD codes, insurance claims, and billing procedures
Preferred
Healthcare experience preferred
Company
Rochester Regional Health
Rochester Regional Health provides integrated health services.
Founded in 1847
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$15.6MKey Investors
New York State Department of HealthMother Cabrini
2025-12-12Grant· $15M
2024-02-27Grant· $0.6M
Leadership Team
Richard Davis
CEO
Recent News
Rochester Business Journal
2025-12-25
Rochester Business Journal
2025-12-19
Rochester Business Journal
2025-11-07
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