HIM Revenue Cycle Coordinator

HIM Revenue Cycle Coordinator job in Albuquerque, NM

Shift: 1st - Day
Schedule: Full Time

You’re going to LOVE Lovelace!

Lovelace Shared Services: Organizational support departments for all Lovelace facilities including Coding, Finance, Health Information Management, Revenue Cycle, Marketing, and the Resource Team.  We are dedicated to exceeding our customers’ expectations in every way.

Lovelace Shared Services is now hiring an HIM Revenue Cycle Coordinator

  • The Revenue Analyst will be the responsible for coordinating market activities related to Pre-Bill Edits (PBE) and PwC Systematic Review and Monitoring Technique (SMART), including McKesson and SMART super user; training of staff; review of edits, working edit, and forwarding of edits as appropriate; working with the appropriate ancillary department and/or coders to identify and address root cause of issues; perform audits, as requested, for charge capturing process improvement. 

QUALIFICATIONS:

  • Associate’s Degree in business or healthcare field
  • Advanced computer and software skills, including Word, Excel, PowerPoint, encoder/grouper, McKesson (preferred)
  • Strong written and verbal communications skills, Organizational skills & Analytical skills
  • 3 years chart auditing experience.  Familiarity with ICD-9 & 10-CM, CPT-4, HCPCS, DRGs, APCs, modifiers, and revenue codes.
  • Charge master experience preferred
  • Licensure: RHIA/RHIT/CCS and/or RN/LPN preferred

Job Responsibilities:

  • Works with Shared Coding Services team to achieve all financial goals for the company/market, including DNFB/bill hold. 
  • Serves as a liaison with the Central Business Office (CBO), ancillary departments, and facility Health Information Management (HIM) relative to PBE and SMART edits.
  • Serves as super user for PBE and SMART edits, including training of staff and maintenance of PBE and SMART tables.
  • Refers edits to appropriate coders and/or ancillary departments for review and resolution as appropriate.
  • Identifies trends and works with appropriate areas to address root cause
  • Provides input to the Charge Description Master (CDM) team, to the Central Business Office (CBO) and to corporate HIM Services.
  • Performs charge entry or charge reconciliation as needed.
  • Provides reports of findings and activities to Director Shared Coding and AVP Health Information Management.

Why Lovelace?

  • Named one of the 150 Great Places to Work in Healthcare by Becker’s Hospital Review
  • Named one of the Best Places to Work by Albuquerque Business First
  • Named Top Workplace by Albuquerque Journal, 2013, 2014 and 2015
  • Named to Modern Healthcare’s 100 Best Places to Work five times since 2008

*EOE/AA

Department / Location

CHARGE CAPTURE
Lovelace Shared Services - Albuquerque, NM