REVENUE CYCLE SYSTEMS COORDINATOR

This position performs functions which could include providing revenue cycle system and operational support. The Revenue Cycle Systems Coordinator will work closely with Revenue Cycle Leadership by providing necessary support to the Financial Applications Manager, Revenue Integrity team, Hospital and Physician Billing teams, and Denials Management teams. The Coordinator will work to identify system and process improvements as well as implement approved system changes from these areas; provide key analytics through daily, weekly and monthly key performance reports; seek out and implement automated processes through use of artificial intelligence, scripting, or other means; maintain system dictionaries; provider project support; and occasionally research and interpret payer regulations.

The objective of the Revenue Cycle Systems Coordinator will support accurate data entry, data transfer, and data analytics to support the financial applications team by:

• Maintaining system dictionaries
• Preparing system policy and procedures
• Providing system support for any/all financial and revenue cycle applications
• Optimizing data transfer processes using artificial intelligence
• Preparing daily, weekly, and monthly KPI’s
• Coding of edits in claim scrubbing system to increase the accuracy of claims submitted
• Writing reports using various report writing tools
• Monitoring and initiate both incoming and outgoing file transfers with external business partners
• Collecting data and submit to Finance for multiple yearly audits
• Participating and documenting optimization sessions

The objective of the Revenue Cycle Systems Coordinator in support of Hospital/Physician billing and cash posting will be to provide system maintenance, report writing as well as vendor file placements and reconciliations. The Revenue Cycle Systems Coordinator will use data from reports to create and provide measurable analytics.  Functions will include:

• Process and/or support placement, reconciliation and return files for hospital and physician revenue cycle
• Creation of reconciliation process for placement and return files for hospital and physician revenue cycle
• Provide detailed analytics through daily, weekly, and monthly KPI reports
• Maintain and update EDI programs to increase automation of remit posting
• Support client billing functions and processes as needed
• Coordinate data for billing audits
• Review payer policies and provide interpretation to revenue cycle leadership

The objective of the Revenue Cycle Systems Coordinator in support of Revenue Integrity and Denial Management will be to assure correct data import into the contract modeling system as well as the denial management system to assure system integrity for accurate reporting output.  Additionally, the Revenue Cycle Systems Coordinator will provide reconciliation of daily imports into said systems and correct file inaccuracies by:

• Reviewing daily import reconciliation reports and researching any reported inaccuracies
• Maintaining automated tool used for synchronization of HIS Live and Test dictionaries
• Monitoring and updating of the contract management system to ensure AR valuation is as accurate as possible
• Analyzing and reporting recoupment amounts from previously identified underpayments
• Developing and prepare KPI reports
• Assisting with cataloging of payer contracts

Education/Certification Requirements

• Associates Degree or 3 years of health care experience

Experience and Skill Requirements

• Must have a strong working knowledge of Microsoft Suite
• Strong and professional verbal and written communication skills are essential
• Must be able to communicate effectively with all levels of the organization including clinical professionals, administrators, and peers
• Must be able to work independently and be self-motivated
• Strong ability to use analysis-based problem-solving techniques
• Strong time management
• Must be extremely well organized
• Willingness to learn new information systems
• Willing to be self-taught
• Project management skills

Company Information

Augusta Health is a mission-driven, independent, nonprofit, community health system located in Fishersville Virginia in Virginia’s scenic Shenandoah Valley. Augusta Health offers a full continuum of inpatient and outpatient which includes Augusta Medical Center a 255 bed inpatient facility and Augusta Medical Group which is comprised of 40 practice locations and four urgent care locations.

Equal Opportunity

Augusta Health recruits, hires and promotes qualified candidates for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran or military discharge status, and family medical or genetic information.