Senior Management Consultant Level II
Apply NowCompany: NYC Health + Hospitals
Location: Bronx, NY 10467
Description:
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.
Visit us at www.nyc.gov/html/hhc/lincoln.
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:
1. Assumes the responsibilities of Revenue Integrity ensuring facility RCPP are compliant to review and completes WQs and charge capture.
2. Corrects all Revenue Integrity errors and assist departments in order to maintain Revenue Integrity goals.
3. Engages with the RCIT to improve charge capture.
4. Meets with each RCPP department to be held frequently.
5. Recommends modifications were charge capture is identified.
6. Create monthly reports that will be submitted to financial leadership
7. Bridge between clinical operations, the billing office and IT.
8. Ensures compliance of each department to the charge capture policy.
9. Resolves charging related billing edits.
10. Generate and review reports with all RCIT and RCPP.
11. Communicates findings and status on a weekly/monthly basis.
12. Reviews and corrects Revenue Integrity (RI) work-queue edits created by incorrect or incomplete workflow.
13. Investigates account issues and follow up with solutions or escalate them to Central Office RCIT team for a resolution.
14. Participates in weekly Central Office meetings to discuss workflow, system issues, and resolution strategies.
15. 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.
16. Communicates, observes, and reports on charge entry discrepancies, trends and patterns.
17. Visit Practices and Departments to observe standard operational flow and meet with providers and practice teams in the practice setting to review process and identify potential gaps.
18. Engages in continual education and training in the subject field.
19. Other relevant duties and special projects as assigned.
Minimum Qualifications
1. A Master's degree in public administration or business administration, or in an equivalent or equally acceptable program, and four (4) years of satisfactory, full-time paid experience in a major governmental agency or large corporation or foundation in management analysis or in operational direction, planning, coordination or control of which two (2) years must have been in a supervisory, administrative or consultative capacity; or
2.A Baccalaureate degree from an accredited college or university and five (5) years of experience as stated in #1 above of which three (3) years must have been in a supervisory, administrative or consultative capacity; or
3.A satisfactory equivalent, however, all candidates must possess not less than the two (2) years of supervisory, administrative or consultative experience required.
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.
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:
Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
Retirement Savings and Pension Plans
Loan Forgiveness Programs for eligible employees
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
College tuition discounts and professional development opportunities
Multiple employee discounts programs
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.
Visit us at www.nyc.gov/html/hhc/lincoln.
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:
1. Assumes the responsibilities of Revenue Integrity ensuring facility RCPP are compliant to review and completes WQs and charge capture.
2. Corrects all Revenue Integrity errors and assist departments in order to maintain Revenue Integrity goals.
3. Engages with the RCIT to improve charge capture.
4. Meets with each RCPP department to be held frequently.
5. Recommends modifications were charge capture is identified.
6. Create monthly reports that will be submitted to financial leadership
7. Bridge between clinical operations, the billing office and IT.
8. Ensures compliance of each department to the charge capture policy.
9. Resolves charging related billing edits.
10. Generate and review reports with all RCIT and RCPP.
11. Communicates findings and status on a weekly/monthly basis.
12. Reviews and corrects Revenue Integrity (RI) work-queue edits created by incorrect or incomplete workflow.
13. Investigates account issues and follow up with solutions or escalate them to Central Office RCIT team for a resolution.
14. Participates in weekly Central Office meetings to discuss workflow, system issues, and resolution strategies.
15. 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.
16. Communicates, observes, and reports on charge entry discrepancies, trends and patterns.
17. Visit Practices and Departments to observe standard operational flow and meet with providers and practice teams in the practice setting to review process and identify potential gaps.
18. Engages in continual education and training in the subject field.
19. Other relevant duties and special projects as assigned.
Minimum Qualifications
1. A Master's degree in public administration or business administration, or in an equivalent or equally acceptable program, and four (4) years of satisfactory, full-time paid experience in a major governmental agency or large corporation or foundation in management analysis or in operational direction, planning, coordination or control of which two (2) years must have been in a supervisory, administrative or consultative capacity; or
2.A Baccalaureate degree from an accredited college or university and five (5) years of experience as stated in #1 above of which three (3) years must have been in a supervisory, administrative or consultative capacity; or
3.A satisfactory equivalent, however, all candidates must possess not less than the two (2) years of supervisory, administrative or consultative experience required.
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.
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:
Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
Retirement Savings and Pension Plans
Loan Forgiveness Programs for eligible employees
Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
College tuition discounts and professional development opportunities
Multiple employee discounts programs