Clinical Charge Capture Specialist

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

EEO/AA/Disability/Veteran

1. Responsible for the preparation of the monthly revenue reporting and support related to net revenue and accounts receivable valuations.

2. Assists in the overall net revenue budget process, which includes assumptions and valuation, financial assessments and ad hoc reports, supporting documentation, filings and audits.
3. Develops new opportunities for revenue enhancement by analyzing reimbursement, billing and collections, as well as working with other departments to identify areas of revenue opportunity.
4. Streamline projects for routine, accurate production, as required. Adequately documents work and processes as required for use by others.
5. Supports development of large databases through the use of required data mining tools.
6. Coordinates efforts of multi-disciplinary groups responsible for projects involved in the management and enhancement of revenue, as required. At times, will be expected to lead these groups. Groups may include
representatives from various clinical areas, Accounting, Coding, Medical Records Billing, and Utilization Management, Compliance and Information Systems and staff from other organizations. At other times, is
required to work closely with clinical, Compliance and other Finance colleagues on a number of different revenue related projects.

7. Works to assure the accuracy and accountability of revenue information reported externally to outside auditors, governmental agencies and the public.
8. Analyzes current information, supporting documentation and data capture methods for purposes of identifying systematic and departmental opportunities for improvement and enhancement of revenue.

9. Responsible for the assisting in the completion of the monthly revenue reporting process. This includes the areas of maintaining detailed computer models, financial analysis and forecasting.
10. Researches charge system problems and makes recommendations for resolution. Assists in the development of tools required to understand, monitor and improve charge capture efforts.
11. Promotes the Vision, Mission, and Values of Yale New Haven Health.
12. Performs other duties as required.

EDUCATION (number of years and type required to perform the position duties):

• Bachelor's Degree in business or related clinical discipline, or Licensed RN or Coding Certification (CPC/CCS) or
  Licensed Diagnostic Imaging Technician required.

EXPERIENCE (number of years and type required to meet an acceptable level of performance):

• With a Bachelor's Degree CCS Certification or Licensed RN, a minimum of five years experience in health care
  finance, billing, coding, direct clinical care, reimbursement, accounting, budget, compliance or insurance.
• With a CPC or a Licensed Diagnostic Imaging Technician - a minimum of eight years of professional work
  experience in medical coding or closely related field.

SPECIAL SKILLS:

• Knowledge of health care billing revenue process, accounting and auditing theory is required and assumed .
  Efficiency in Access and Excel is assumed. Assumes working knowledge in the field of health care, revenue
  reporting and/or reimbursement. Demonstrates ability to lead groups and work on numerous projects
  simultaneously.

ACCOUNTABILITY (how this position is held accountable for such as goals achievement, budget adherence, or other areas of accountability):

• Responsible for leading technical revenue, financial and data projects, financial reporting of revenue, and accuracy
  and reliability of data and revenue for the System?s hospitals and physician practices. This function contributes
  directly to annual revenue performance, revenue enhancement goals and to our required internal and external filings
  with public accountants, governmental agencies and others.
• Enhances the accuracy of the underlying information as
  required and determined.
• Investigates problems and makes recommendations to senior management for future
  projects related to revenue enhancement.
• Responsible for the project work plan for corporate finance revenue
  financial and data efforts.
• In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right
  thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences), accountability (being responsible and taking action), and compassion (being empathetic).

COMPLEXITY (describe planning, problem solving, decision making, creative activity, or other special factors inherent in the responsibilities of this position):

• Serves as a technical expert on revenue reporting and related projects. Directs multi -disciplinary efforts for complicated revenue projects and development. Exercises independent judgment and discretion in the performance of duties. Acts as a resource for the corporate finance financial and data matters at the System ?s hospitals (including NEMG), and supports the related information systems functions.

This position will be the Clinical Charge Capture Specialist, reporting to the Senior Manager of Revenue Integrity for YNHHS, and responsible for a variety of System-wide reimbursement and revenue integrity functions, including reporting, analytical , technical and systems support. Additionally, involved with assisting in the revenue compilation for all System's hospitals and physician practices, reporting and analysis related to the financial statement close process and supporting internal stakeholders, including accounting, SBO and revenue reporting on a variety of revenue related issues. This person would also be responsible to help ensure accurate and timely capture and transfer of charges from hospital information systems. Other duties include the accurate establishment of clinical charges and billing code, researching and resolving charge system problems. Documents system performance, to ensure accuracy, compliance and to enhance revenue. Works as part of a multi -disciplinary team that includes billing, medical records, coding, compliance, clinical leadership, finance and information systems. This position will
look to develop new opportunities for revenue enhancement including leading multi 'disciplinary work group (Accounting, Reimbursement, Budget and Planning and the billing office) on projects associated with revenue data
and reporting. Serves as technical lead in information systems, data analysis and other analytic needs related to revenue reporting and analysis. Assures the accuracy and accountability of reported revenue information.

EEO/AA/Disability/Veteran.