JobMesh

REMOTE Revenue and CDM Optimization Liaison

Trinity Health · Livonia, Michigan, US

Employment Type: Full time Shift: Description: ESSENTIAL RESPONISBILITIES - Responsible for the data capture, analysis & reporting of data information to ass...

Job description

Employment Type: Full time Shift: Description: ESSENTIAL RESPONISBILITIES - Responsible for the data capture, analysis & reporting of data information to assist the Trinity Health leadership team achieve operational efficiency. Responsible for auditing department information, producing reports, & suggesting improvements to processes. Provides knowledge & expertise in the program, services & applications. - Guides, communicates & educates on correct charge capture, billing & coding processes & local, state & federal guidelines. Examines, reports & makes recommendations regarding departmental charge activities for compliance with management plans & policies. - Conducts special reviews for management to discover mechanics of detected fraud & to develop controls for fraud prevention. - Reviews bulletins to maintain an understanding of regulatory & payer changes to assure correct charging & billing. Coordinates pricing increases as directed by Finance & utilizes strategic pricing applications to maximize payments within the hospital budget requirements. Minimum Qualifications: - Bachelor's degree in healthcare or business administration, Finance, Accounting, Nursing or a related field,...