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Employment Type:

Full time

Shift:

Day Shift

Description:

The specific responsibility of this position is to serve as the revenue liaison between the revenue cycle management division, reimbursement department, the ancillary/clinical areas, and physician/provider areas that generate patient revenue. In particular, this position is responsible for collaborating with department revenue leads and frontline staff to ensure accurate, sustainable and regulatory-compliant charge capture operations are in place to include daily charge entry, revenue reconciliation and error correction processes. This position is responsible for evaluating the current charge capture systems and processes in place against regulatory guidelines, billing documentation requirements, and leading hospital and physician practices, and making recommendations for enhancement to the Revenue Informatics Director. For those system enhancement or implementation projects approved related to charge capture, this position serves as the project coordinator, consistently communicating regulatory protocols and ensuring sufficient data guides all major implementation decisions. In the planning phase of revenue system changes, the Revenue Liaison serves as a resource and advisor to Trinity (i.e., Unified Revenue Organization, Physician Network Operations, Trinity Information Services), keeping the project team apprised of Maryland-specific compliance regulations that may impact the hospital’s ability to leverage system functionality.

Job** **Title:

Revenue Integrity Specialist

Employment Type:

Full-Time

Shift:

Days

(SUMMARY) Position Highlights:

+ **Competitive pay**

+ **Additional Benefits:** tuition reimbursement, free parking, employee discounts

+ **Quality of Life: ** Flexible work schedules

+ **Advancement: **  professional growth within the organization

+ **Location: ** Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD.

Description:

+ Monday-Friday

+ The specific responsibility of this position is to serve as the revenue liaison between the revenue cycle management division, reimbursement department, the ancillary/clinical areas, and physician/provider areas that generate patient revenue.

Responsibilities:

+ Responsible for collaborating with department revenue leads and frontline staff to ensure accurate, sustainable and regulatory-compliant charge capture operations are in place to include daily charge entry, revenue reconciliation and error correction processes.

+ Responsible for evaluating the current charge capture systems and processes in place against regulatory guidelines, billing documentation requirements, and leading hospital and physician practices, and making recommendations for enhancement to the Revenue Informatics Director.

+ Enhancement or implementation projects approved related to charge capture, this position serves as the project coordinator, consistently communicating regulatory protocols and ensuring sufficient data guides all major implementation decisions

+ Serves as a resource and advisor to Trinity (i.e., Unified Revenue Organization, Physician Network Operations, Trinity Information Services), keeping the project team apprised of Maryland-specific compliance regulations that may impact the hospital’s ability to leverage system functionality.

+ Provides support, when requested, to other revenue cycle system implementation projects.

+ Responsible for the creation of implementation strategies and data production, working with vendors and Trinity Health representatives to ensure objectives are achieved, communicating progress and issues to management, and ensuring that each project achieves the improvements for which it was acquired.

+ Coordinates between the Reimbursement, Patient Accounting, Patient Access, and Physician Practice Integration Departments to guide clinical departments in selecting and implementing appropriate and effective charge processes

+ Other duties as assigned by the Director, Revenue Informatics

What you will need:

+ Bachelor's degree in Statistics, Information Systems, Economics or related discipline

+ Master's degree in Statistics, Information Systems, Economics (strongly preferred).

+ A minimum of 2-4 years of experience working in data in Statistics, Information Systems, Economics fields

+ A minimum of 2-4 years of progressive experience in revenue cycle operations and related healthcare regulatory requirements. Project management and system conversion experience preferred.

+ The ability to organize and present information in a systematic format using spreadsheet and graphing capabilities. Skills in documenting performance flowcharts, summaries, and presentation formats.

+ Demonstrated leadership ability and a record of effective, team-oriented relationships with hospital staff, managers, senior management and medical staff, including medical staff leadership committees.

+ Strong analytical skills and ability to multi-task effectively.

+ Excellent communication skills in both written and verbal formats

+ Thorough knowledge of current trends and best practices in performance improvement and revenue cycle concepts, applications and methods.

+ Experience with the application of information systems as they apply to revenue cycle operations and health information systems. Knowledge of McKesson and Cerner products preferred.

Pay Range- $32.12-$48.18

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

About us:

Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland's two largest counties — Montgomery and Prince George's counties. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for providing innovative, high-quality health care services. We were named one of America’s 100 Best Hospitals for 2021.

_Holy Cross Health is an Equal Employment Opportunity (EEO) employer.  Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status_

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran