Revenue Integrity Reimbursement Coordinator | Concord Hospital

08 Mar 2019 6:54 AM | Anonymous

Position Description: Working under the supervision of the Manager of Revenue Integrity and Customer Service, the Revenue Integrity Reimbursement Coordinator is responsible for managing audit requests and appeals, performing charge master maintenance, and providing analytical support for Revenue Operations, clinical department leadership, and other stakeholders. The Coordinator monitors updates to inpatient, outpatient, and physician reimbursement and coverage for all payors. The Coordinator analyzes data to identify any potential impact to the hospital and communicates this impact out internally and to other departments.

Education: Four years of formal training or education beyond the high school level (e.g., Bachelor’s Degree).

Certification, Registration & Licensure: Medical coding, auditing, or health information certification required. Including, but not limited to CPC, COC, CIC, CRC, CPC-P, RHIA, RHIT, CCA, CCS, CCS-P, CDIP, or CHDA.

Experience: Minimum of five years’ experience in healthcare revenue integrity, managed care contracting, billing, auditing, chargemaster, coding, or compliance in an acute care hospital. Must have at least two years’ experience working with reimbursement methodologies (i.e. IPPS, OPPS, MPFS, managed care). Excellent analytical, organizational, and research skills required. Must have demonstrated ability to successfully collaborate with department leadership and staff. Must have excellent communication skills with the ability to present complex information in a professional, easy-to-understand way. Must be able to successfully manage multiple priorities and deadlines. Previous clinical experience preferred. Strong computer skills required, including Microsoft Word, Excel, and Publisher.


Wendy Dumais
603-230-7498 (p)