What are the responsibilities and job description for the Senior Management Consultant Level II position at Nychealthandhospitals?
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NYC Health Hospitals provided pay range
This range is provided by NYC Health Hospitals. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Base pay range
70,261.00 / yr - $75,772.00 / yr
Marketing Statement
Lincoln Medical and Mental Health Center is one of New York City’s premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers of Excellence, and a recognized industry leader in the implementation of state-of-the-art medical technology and best practices. Our team of highly trained and caring medical professionals is dedicated to providing the highest quality health care that is safe, compassionate, culturally competent, and patient-centered. Comprehensive services are offered in three major primary care areas : Medicine, Pediatrics, and Women’s Health in addition to more than eighty (80) specialty services. At Lincoln, the safety and comfort of our patients is our number one priority.
At NYC Health Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Job Description
PURPOSE OF POSITION :
Revenue Integrity is the achievement of operational efficiency, regulatory compliance, and optimal reimbursement. The focus is to prevent recurrent, systemic issues that can cause revenue "leakage" and decrease overall revenue.
Duties & Responsibilities :
- Assumes the responsibilities of Revenue Integrity ensuring facility RCPP are compliant to review and completes WQs and charge capture.
- Corrects all Revenue Integrity errors and assists departments in order to maintain Revenue Integrity goals.
- Engages with the RCIT to improve charge capture.
- Meets with each RCPP department frequently.
- Recommends modifications where charge capture is identified.
- Creates monthly reports that will be submitted to financial leadership.
- Acts as a bridge between clinical operations, the billing office, and IT.
- Ensures compliance of each department to the charge capture policy.
- Resolves charging related billing edits.
- Generates and reviews reports with all RCIT and RCPP.
- Communicates findings and status on a weekly / monthly basis.
- Reviews and corrects Revenue Integrity (RI) work-queue edits created by incorrect or incomplete workflow.
- Investigates account issues and follows up with solutions or escalates them to Central Office RCIT team for resolution.
- Participates in weekly Central Office meetings to discuss workflow, system issues, and resolution strategies.
- Monitors all high dollar charge work-queues (procedural and surgical logs and charge quantity accounts) to ensure work-queue users are reviewing and correcting the accounts timely.
- Communicates, observes, and reports on charge entry discrepancies, trends, and patterns.
- Visits Practices and Departments to observe standard operational flow and meet with providers and practice teams in the practice setting to review processes and identify potential gaps.
- Engages in continual education and training in the subject field.
- Other relevant duties and special projects as assigned.
Minimum Qualifications :
Four (4) years of appropriate general experience may be substituted for a Baccalaureate degree requirement. Appropriate full-time teaching experience in an accredited college or university may be substituted on a year-for-year basis for the required general experience and appropriate full-time teaching experience in a position of professional rank may be substituted on a year-for-year basis for the required supervisory, administrative or consultative experience.
Department Preferences :
How To Apply
If you wish to apply for this position, please apply online by clicking the "Apply for Job" button or forward your resume, noting the above Job ID #, to :
Lincoln Medical & Mental Health Center
Human Resources Department
234 Eugenio Maria De Hostos Blvd, (East 149th Street),
2nd Floor, Annex
Bronx, NY 10451
Attn : Recruitment Unit
NYC Health and Hospitals offers a competitive benefits package that includes :
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Consulting, Information Technology, and Sales
Industries
Hospitals and Health Care
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Salary : $70,261 - $75,772