Job Summary

　　Coordinates the maintenance of assigned departmental revenue cycle business systems, chargemasters, or other business process, ensuring accuracy and consistency with departmental requirements and regulatory agency standards. Accountable for tasks impacting organizational cash flow, compliance, patient satisfaction and confidentiality. Monitors and trends data for assigned revenue cycle departments and tasks. Takes a lead role in the development, implementation, and project management of assigned projects / programs.

　　Essential Functions

　　Reviews and makes recommendations regarding hospital or professional charges / fee structure, revenue cycle business systems, or related processes. Researches patient access, coding and billing requirements when new procedures or regulatory changes are introduced.

　　Coordinates required updating of CPT / HCPCS codes, bill edits, third party payer changes or other revenue cycle regulatory requirements.

　　Assists in the resolution of revenue cycle issues such as patient access, billing or denials, and develops systems to proactively address trends.

　　Facilitates the development of strategies for the evaluation and implementation of assigned tasks, such as recommended changes to business systems, reimbursement methodologies, charge capture or revenue cycle efficiencies, working collaboratively with teams / task forces / consultants.

　　Assists Finance or revenue cycle department(s) in the development of financial impact scenarios and impact analysis projections.

　　Communicates, collaborates and acts as a consultant to others within and outside the department related to assigned tasks, in order to facilitate continuity and coordination of services. Acts as a liaison to outside consultants and keeps upper management / revenue cycle team informed concerning progress / problems.

　　Assesses the educational needs of others related to area of accountability and coordinates / implements appropriate teaching strategies or makes appropriate referrals.

　　Evaluates resources necessary to effectively carry out Chargemaster / APC functions and makes recommendations for inclusion in budget.

　　Qualifications

　　Required. Bachelor's Degree (or equivalent education and experience)

　　Required. 5 years of relevant experience in different areas of the hospital, including billing, coding, reimbursement, information technology and finance.

　　Physical Demands

　　Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs

　　Waist to Waist > 5 lbs: Seldom up to 10 lbs

　　Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs

　　Waist to Overhead > 5 lbs: Seldom up to 10 lbs

　　Bilateral Carry > 5 lbs: Seldom up to 10 lbs

　　Unilateral Carry > 5 lbs: Seldom up to 10 lbs

　　Pushing Force > 5 lbs: Seldom up to 10 lbs

　　Pulling Force > 5 lbs: Seldom up to 10 lbs

　　Sitting: Frequently

　　Standing: Occasionally

　　Walking: Occasionally

　　Forward Bend - Standing: Seldom

　　Forward Bend - Sitting: Occasionally

　　Trunk Rotation - Standing: Seldom

　　Trunk Rotation - Sitting: Occasionally

　　Reach - Above Shoulder: Seldom

　　Reach - at Shoulder or Below: Seldom

　　Handling: Occasionally

　　Forceful Grip > 5 lbs: Seldom

　　Forceful Pinch > 2 lbs: Seldom

　　Finger/Hand Dexterity: Frequently

　　#LI-PRO

　　Primary Location

　　SITE - 4700 60th St - Grand Rapids

　　Department Name

　　Revenue Cycle System Support

　　Employment Type

　　Full time

　　Shift

　　Day (United States of America)

　　Weekly Scheduled Hours

　　40

　　Hours of Work

　　8:00 a.m. to 5:00 p.m.

　　Days Worked

　　Monday to Friday

　　Weekend Frequency

　　Variable weekends

　　CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

　　Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

　　Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

　　An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

　　You may request assistance in completing the application process by calling 616.486.7447.

　　People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.