Audit & Denials Team Lead Job Listing at Mercy in Chesterfield, MO (Job ID 942291)

Description

We're a Little Different

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”

Overview:

The Payor Audits & Denials Team Lead is responsible for ensuring Mercy responds to audit requests by providing high quality documentation in a timely and accurate manner. This position serves as the liaison between care providers, payers, and other Mercy departments pertaining to the collection, management and analysis of patient health information required to support appropriate reimbursement for services provided by Mercy.

Qualifications:

• Education: Bachelor's degree in Health Care Administration or closely related field; or commensurate experience in lieu of a degree in addition to the required experience.
• Experience:  A minimum of five years related healthcare experience in revenue cycle, health information management auditing or patient accounting experience preferred.
• Preferred Certifications:  Certification in Healthcare Compliance (CHC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Revenue Cycle Representative (CRCR), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA)

OTHER SKILLS & KNOWLEDGE

• Knowledge of rules and regulations pertaining to hospital and ambulatory reimbursement. 
• Must have clinical or patient accounting background with fundamental knowledge of the Revenue Cycle Process, which includes patient access, case management/utilization review, charge capture, HIM, patient accounting.
• Knowledge of medical terminology, coding, and clinical documentation related to reimbursement processes.
• Excellent interpersonal, communication and organizational skills to effectively interact with Finance, Business Office, Patient Financial Services, Health Information Management, Compliance, Contracting, Utilization Management and others as required.
• Must possess the ability to prioritize, delegate, and organize various tasks/projects simultaneously to ensure departmental and Mercy-wide goals are timely met.
• Possesses integrity, imagination and initiative as evidenced by self-improvement.
• Demonstrates personal qualities such as kindness, compassion, understanding, integrity, interest and respect for others.
• Ability to maintain confidentiality when working with sensitive information.
• Ability to stay current on changing governmental regulations related to Recovery Audit Contractors and other Payor audits. 
• Knowledge of computer applications and their implications on the revenue cycleCreative, results-oriented, well organized, task-driven, self-starter with high energy level, and ability to influence others
• Strong business acumen with the skills to challenge leaders across all functional disciplines
• Ability to work independently to accomplish and carry out goals/objectives in a collaborative manner.
• Co-dependent environment in which institutional success is contingent upon cooperation and team work.
• Very high personal integrity and work ethic with the ability to demonstrate and obtain.
• The respect of individuals who they collaborate with.
• Ability to travel periodically across the Ministry as required.

We Offer Great Benefits:

Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!

We're bringing to life a healing ministry through compassionate care.

At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We're expanding to help our communities grow. Join us and be a part of it all.

What Makes You a Good Match for Mercy?

Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and unafraid to do a little extra to deliver excellent care – that's just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

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