Revenue Integrity Sr. Specialist/Full Time/Hybrid Troy

EDUCATION/EXPERIENCE REQUIRED:
• Bachelor’s degree in Business Administration, Healthcare Administration, Nursing or related field, or five (5) years of leadership, consultative, and/or related experience in lieu of Bachelor’s degree.
• Three (3) years experience in healthcare revenue cycle, finance, clinical areas, or related experience required.
• Hospital billing and healthcare finance background, preferred.
• Ability to work with and interpret detailed medical record documents and communicate effectively with physician, nursing staff, leadership and other HFH personnel.
• Knowledge of medical coding (facility and professional), related medical terminology, use of medical records, billing claim forms, and federal and state regulations related to rules/coverage.
• Knowledge of Medicare, Medicaid, Blue Cross and other third-party payers billing and reimbursement regulations/policies, preferred.
• Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to management and staff.
• EPIC experience, preferred.
• Ability to manage simultaneous assignments with potentially conflicting priorities and deadlines.
• Ability to identify when input from Director, Manager or other senior staff members is necessary.
• Strong interpersonal skills; ability to communicate effectively with all levels of management and staff across the System.
• Strong, growing base of analytical/technical, facilitative, and process improvement knowledge.
• Knowledge of effective data gathering techniques. Sound decision-making skills.
• Proven project management skills.
• Strong diplomacy and collaboration skills.

CERTIFICATIONS/LICENSURES REQUIRED:
• Coding Credential (CPC, COC, CCA, CCS, RHIT) or Clinical Credential (RN,NP, PA) preferred.
• Certification in some or all of the following: Lean, Six Sigma or equivalent industry training and experience, preferred.