This role will be responsible for identifying and resolving issues, being proactive and developing solutions within the Revenue Cycle. Work in conjunction with Mountain Park Health Centers Revenue Cycle internal and external customers and partners to identify, troubleshoot and implement solutions to enhance the Revenue Cycle.

Essential Functions:

• Keeps staff informed of new or updated standards, systems, procedures, forms and manuals through staff meetings and verbal and written communications.
• Suggests alternative methods and procedures in solving problems.
• Assists with holding team accountable for their performance.
• Proactively develop solutions to identify, troubleshoot and implement solutions to enhance the RCM.

• Leads efficient dally operational workflows to charge, capture, coding and billing procedures that comply with payer policies.
• Analyzes patient pay data identifying trends, losses, and discrepancies.
• Collaborate with eCW and CAT teams focusing on continual improvement and maximization of systems as they relate to the billing/coding processes.
• Utilize organization software and tools to conduct analysis, provider audits, and monitoring of payer/plan quality initiatives improvements.
• Research, analyze and resolve coding and billing issues.
• Performs other duties as required.

Qualifications:

Minimum Qualifications:

• Bachelor’s Degree or commensurate with applicable coding and revenue cycle experience.
• Five years of healthcare revenue cycle experience in organizations of similar size.
• Certified Professional Coder (CPC) with experience in E/M Coding

Preferred Qualifications:

• Federally Qualified Health Care (FQHC) experience