Work where every moment matters Every day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare network The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemDepartment DescriptionThe Revenue Integrity RI department requires highly skilled technical staff that has certified coders to correct and resolve claim and denial issues In addition the department includes a team of Revenue Integrity Analysts and Charge Description Master CDM analysts We serve as liaisons between Clinicians other Revenue Cycle departments and Information Technology Our objective is to assure a clean claim is produced Our teams are located on site or remotely Our primary location is the Central Business Office in NewingtonPosition SummaryThe Revenue Integrity Specialist determines the appropriateness of patient charges and Charge Description Master CDM assigned HCPCSCPT coding by reviewing the medical record facility protocol and other applicable documentation This review includes the verification of billing data for accuracy and completeness following regulatory requirements in order to resolve edits denials or exceptions detected during system processing of the claim Position ResponsibilitiesAnalyze and resolve specific billing edits and denials that require coding and billing expertise with some clinical knowledge that are delaying claims from processing in the Patient Accounting system This includes the verification andor correction of billing data for accuracy and completeness by following regulatory requirements and reviewing the medical record facility protocol and other applicable documentation This also includes the application of modifiers diagnosis codes as appropriate including charge correctionsIdentify charging coding or clinical documentation issues and work with appropriate leadership and ancillary Patient Financial Services HIM departments etc regarding charging and clinical documentation issuesParticipate as a member of the Revenue Integrity work group and report charging and medical necessity issues as appropriateReports To Supervisor Revenue Integrity SpecialistWork where every moment matters Every day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare network The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemDepartment DescriptionThe Revenue Integrity RI department requires highly skilled technical staff that has certified coders to correct and resolve claim and denial issues In addition the department includes a team of Revenue Integrity Analysts and Charge Description Master CDM analysts We serve as liaisons between Clinicians other Revenue Cycle departments and Information Technology Our objective is to assure a clean claim is produced Our teams are located on site or remotely Our primary location is the Central Business Office in NewingtonPosition SummaryThe Revenue Integrity Specialist determines the appropriateness of patient charges and Charge Description Master CDM assigned HCPCSCPT coding by reviewing the medical record facility protocol and other applicable documentation This review includes the verification of billing data for accuracy and completeness following regulatory requirements in order to resolve edits denials or exceptions detected during system processing of the claim Position ResponsibilitiesAnalyze and resolve specific billing edits and denials that require coding and billing expertise with some clinical knowledge that are delaying claims from processing in the Patient Accounting system This includes the verification andor correction of billing data for accuracy and completeness by following regulatory requirements and reviewing the medical record facility protocol and other applicable documentation This also includes the application of modifiers diagnosis codes as appropriate including charge correctionsIdentify charging coding or clinical documentation issues and work with appropriate leadership and ancillary Patient Financial Services HIM departments etc regarding charging and clinical documentation issuesParticipate as a member of the Revenue Integrity work group and report charging and medical necessity issues as appropriateReports To Supervisor Revenue Integrity SpecialistEducation High School diploma or GED requiredUndergraduate degree preferredExperienceHealthcare experience requiredClinical experience preferredLicensure Certification RegistrationCCS CCS P CP RHIT RHIA is requiredLicensed RN preferredKnowledge Skills and Ability RequirementsExcellent communication skills both verbal and writtenGood interpersonal skillsAble to establish good customer relationships with trust and respectAble to travel as neededComputer skills navigation and edit resolution through various Web based systems Ability to use email Excel WordWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your momentEducation High School diploma or GED requiredUndergraduate degree preferredExperienceHealthcare experience requiredClinical experience preferredLicensure Certification RegistrationCCS CCS P CP RHIT RHIA is requiredLicensed RN preferredKnowledge Skills and Ability RequirementsExcellent communication skills both verbal and writtenGood interpersonal skillsAble to establish good customer relationships with trust and respectAble to travel as neededComputer skills navigation and edit resolution through various Web based systems Ability to use email Excel WordWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your moment