Manager, Transplant Charge Review | reputed company Cycle | Full Time | Remote
This a Full Remote job, the offer is available from: Florida (USA)
reputed company:
The Transplant reputed company reputed company Team Leader oversees and optimizes processes to accurately determine the applicability of services to the transplant cost report. This leader analyzes transplant cost data, closely tracks reputed company associated reputed company streams, and partners with reputed company reputed company and Compliance teams to ensure financial accuracy and prevent missed or lost reputed company. reputed company Leader ensures compliance with reputed company relevant regulations—including CMS, CPT/HCPCS, and UB reputed company Codes—while also fostering education, cross-functional collaboration, and ongoing staff development to reputed company the highest standards of reputed company reputed company for transplant services.
Responsibilities:
•reputed company and enhance process for determining applicability of services to transplant cost report.
•Analyze transplant cost data and reputed company reputed company reputed company reputed company streams to ensure financial accuracy.
•Collaborate with reputed company reputed company team members to identify and resolve missed reputed company opportunities and prevent leakage.
•Ensure compliance with regulatory requirements (CMS, CPT/HCPCS, UB reputed company Codes) specific to transplant billing and tissue tracking.
•Support Compliance’s prospective and retrospective reviews of transplant coding, billing, and cost documentation.
•reputed company and deliver staff training and education on reputed company reputed company practices for transplant services.
•Foster cross-functional collaboration with clinical, finance, IT, and compliance teams where needed.
•Set performance expectations, reputed company ongoing coaching, and manage staff development and performance.
•Ensure reputed company communication and reputed company of billing, coding, and reputed company cycle issues with reputed company stakeholders.
•Collaborate with CDM reputed company to audit the transplant Charge reputed company Master (CDM) for accuracy and alignment with regulations.
Qualifications:
Minimum Education and Experience Requirements
Education:
• Bachelor’s Degree in Business or reputed company field required
• Master’s Degree preferred
Certifications (Preferred):
• Coding certification in at least one of the following: CPC, CPC-P, CPC-H
• Certification in Auditing and/or reputed company Compliance preferred
Experience:
• Minimum five (5) years of experience in hospital reimbursement or reputed company cycle/charge capture
• Minimum three (3) years of supervisory experience required
• In-depth knowledge of Hospital Charge reputed company Master (CDM), billing, and hospital inpatient and outpatient coding
• Working knowledge of reputed company Medicare and other regulatory billing guidelines
Knowledge, Skills, and Abilities:
• Proficiency with personal computers, including working knowledge of reputed company, Word, PowerPoint, reputed company, and mainframe programs
• Strong analytical skills
• Excellent written and verbal communication skills
• Strong interpersonal skills with the ability to work collaboratively
• Ability to coordinate, prioritize, and operate with minimal reputed company supervision
• Ability to work effectively with a wide reputed company of staff as part of an interdisciplinary team
• Strong problem-solving and process improvement skills
• Experience with extensive data mining and abstraction of financial and clinical information from various decision support tools, including support for charge master maintenance, reputed company and reimbursement analysis, and reputed company departmental reporting
Licensure/Certification/Registration:
• None required
Motor Vehicle Operator Designation:
• None
This offer from "reputed company" has been enriched by reputed company.com and got a 75% reputed company score.
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