Hartford HealthCare · 11 hours ago
Supv Revenue Integrity Special / Revenue Cycle Cmdr Coding
Hartford HealthCare is Connecticut’s most comprehensive healthcare network, and they are seeking a Supervisor Revenue Integrity Specialist. This role is primarily responsible for managing and implementing claim edits, denials, and charge capture accuracy initiatives to improve revenue management and ensure compliance with regulatory requirements.
Health CareHealth DiagnosticsHospitalOncologyPharmaceuticalRehabilitation
Responsibilities
Provides leadership and direction by supporting and motivating (coaching and mentoring) staff. Manages the hiring and training of staff. Ensures that necessarily follow up occurs. Effectively assigns tasks to personnel with appropriate skill sets. Performs mid-annual and annual performance reviews
Provides and manages the support and education related to claim edits, denials, and charge capture of services to multiple staff levels including department leaders in compliance with state, federal, and other third-party payer guidelines. Charge accuracy claim edit, and denial accuracy and claim edit reduction
Develop and maintain an annual audit plan to proactively ensure accurate revenue capture and seek to continually improve charging processes while assuring compliance with standard charging guidelines for staff
Provide consultative and analytical services to operations and other personnel within the organization with respect to charging
Develop, implement, and monitor adherence to departmental policies, procedures, and education with revenue integrity staff and clinical departments. Creates necessary operational standard work
Conducts special projects and special studies to facilitate revenue management and compliance as required new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, etc
Oversees charging related payor policies changes in collaboration with the Managed Care Department. Includes the tracking and implementation of any necessary changes in the EPIC system as it relates to the CDM, claim edits, EPIC claims logic etc
Qualification
Required
Bachelor's Degree or equivalent Healthcare experience of 5 years
Healthcare experience required at a minimum of 5 years
3-5 years of regulatory compliance and auditing experience
3-5 years of charge capture experience
CCS, CCS-P, CPC, CPC-H, RHIT, RHIA
English
Excellent communication skills both verbal and written
Good interpersonal skills
Able to establish good customer relationships with trust and respect
Able to travel as needed
Computer skills: navigation and edit resolution through various Web based systems. Ability to use email, Excel, Word
Preferred
Undergraduate degree preferred
Clinical experience
Benefits
Competitive benefits program designed to ensure work/life balance
Company
Hartford HealthCare
Hartford HealthCare is a group of hospitals that offers complete healthcare services including cancer care, rehabilitation and pharmacy.
H1B Sponsorship
Hartford HealthCare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (2)
2023 (4)
2022 (6)
2021 (4)
2020 (8)
Funding
Current Stage
Late StageTotal Funding
$150MKey Investors
Connecticut Health and Educational Facilities Authority
2024-04-01Debt Financing· $150M
Leadership Team
Recent News
2026-02-02
Hartford Business Journal
2025-12-18
Company data provided by crunchbase