MGR/REVENUE CYCLE SERVICES Job in Mount Pleasant, Michigan
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Job Title: MGR/REVENUE CYCLE SERVICES
|Employer:||Central Michigan University
|Type:||FULL TIME, OTHER
|Required Experience:||1 to 2 years
|Location:|| Mount Pleasant 48858, MI, US
|This position is responsible for ensuring the quality of medical records by verifying their completeness, accuracy, and proper entry into computer systems; uses computer applications to assemble and analyze patient data for the purpose of improving patient care or controlling costs; determines appropriate coding, maintains the confidentiality, security, and organization of medical records; releases patient information as appropriate and addresses the related medical-legal issues; provides support to the health information system operation; prepares statistical reports and studies. Additionally, this role will be the primary contact for resolving any identified problems in the billing cycles and anticipates problem areas for early intervention. The use of computer applications to assemble and analyze patient data for the purpose of improving patient care or controlling costs; determines appropriate coding & completion of the entire billing cycle, prepares statistical reports and studies. Serves as the HIPAA Privacy Representative for the college of medicine. First line of contact for all questions and follow-up related to HIPAA compliance and potential breaches of PHI in conjunction with the University HIPAA Privacy Officer.
Required:Bachelor's degree in health information, health administration or related field or combination of education and experience with a professional coder or biller certification.Familiarity with HIPAA requirements, including training and handling procedures for violations.Two years demonstrated experience in electronic billing and coding in a physician billing office.Experience in electronic filing of health insurance claims.Knowledge of state and federal billing regulations.Ability to perform internal billing audits and reviewsKnowledge of performing downloads and transmissionsExpertise in ICD-10-CM coding systems, CPT coding and HCPS Level II coding system. Experience with health insurance carrier billing including private and managed care.Experience with answering billing/coding questions via telephone.Excellent critical thinking and problem solving abilities.Able to function effectively as a member of a multi-disciplinary team.Demonstrated positive interpersonal skills.Demonstrated ability to communicate effectively and project a positive attitude.Ability to perform the essential functions of the job.Desired:University billing experience.Previous experience with coordinating the Provider Enrollment and Physician credentialing processes.Current accreditation as a Health Information (Medical Records) Technician.Knowledge and experience in use of Microsoft Office, SAP, EPIC and Calendar.Knowledge of university policies and procedures.Supervisory experience.Certification as a Physician's Office Coding Specialist or eligible for certification.CMU, an AA/EO institution, strongly and actively strives to increase diversity and provide equal opportunity within its community. CMU does not discriminate against persons based on age, color, disability, ethnicity, familial status, gender, gender expression, gender identity, genetic information, height, marital status, national origin, political persuasion, pregnancy, childbirth or related medical conditions, race, religion, sex, sexbased stereotypes, sexual orientation, transgender status, veteran status, or weight (see http://www.cmich.edu/ocrie).