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Yale New Haven Health · 8 hours ago

Clinical Charge Capture Specialist

New Haven, CT

Full-time

Onsite

Senior Level

5+ years exp

Yale New Haven Health is seeking a Clinical Charge Capture Specialist to be part of their team. This role involves a variety of System-wide reimbursement and revenue integrity functions, including reporting, analytical, technical and systems support, as well as ensuring accurate and timely capture and transfer of charges from hospital information systems.

Health Care

Responsibilities

Responsible for the preparation of the monthly revenue reporting and support related to net revenue and accounts receivable valuations

Assists in the overall net revenue budget process, which includes assumptions and valuation, financial assessments and ad hoc reports, supporting documentation, filings and audits

Develops new opportunities for revenue enhancement by analyzing reimbursement, billing and collections, as well as working with other departments to identify areas of revenue opportunity

Streamline projects for routine, accurate production, as required. Adequately documents work and processes as required for use by others

Supports development of large databases through the use of required data mining tools

Coordinates efforts of multi-disciplinary groups responsible for projects involved in the management and enhancement of revenue, as required. At times, will be expected to lead these groups. Groups may include representatives from various clinical areas, Accounting, Coding, Medical Records Billing, and Utilization Management, Compliance and Information Systems and staff from other organizations. At other times, is required to work closely with clinical, Compliance and other Finance colleagues on a number of different revenue related projects

Works to assure the accuracy and accountability of revenue information reported externally to outside auditors, governmental agencies and the public

Analyzes current information, supporting documentation and data capture methods for purposes of identifying systematic and departmental opportunities for improvement and enhancement of revenue

Responsible for the assisting in the completion of the monthly revenue reporting process. This includes the areas of maintaining detailed computer models, financial analysis and forecasting

Researches charge system problems and makes recommendations for resolution. Assists in the development of tools required to understand, monitor and improve charge capture efforts

Promotes the Vision, Mission, and Values of Yale New Haven Health

Performs other duties as required

Qualification

Health care financeBillingCodingRevenue reportingFinancial analysisData analysisExcelLeadershipCommunicationProblem-solvingTeam collaboration

Required

Bachelor's Degree in business or related clinical discipline, or Licensed RN or Coding Certification (CPC/CCS) or Licensed Diagnostic Imaging Technician required

With a Bachelor's Degree CCS Certification or Licensed RN, a minimum of five years experience in health care finance, billing, coding, direct clinical care, reimbursement, accounting, budget, compliance or insurance

With a CPC or a Licensed Diagnostic Imaging Technician - a minimum of eight years of professional work experience in medical coding or closely related field

Knowledge of health care billing revenue process, accounting and auditing theory is required and assumed

Efficiency in Access and Excel is assumed

Assumes working knowledge in the field of health care, revenue reporting and/or reimbursement

Demonstrates ability to lead groups and work on numerous projects simultaneously

Company

Yale New Haven Health

Glassdoor3.7

Yale New Haven Health is making it easier for people to access the latest medical treatments, advanced research and innovations through our five outstanding hospitals – Yale New Haven, Bridgeport, Greenwich, Lawrence + Memorial and Westerly – and our affiliation with the prestigious Yale University and its highly-ranked Yale School of Medicine.

Founded in 1996

New Haven, Connecticut, USA

10001+ employees