Trinity Health

Revenue and CDM Optimization Liaison (REMOTE)


PayCompetitive
LocationRemote
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 00575671

      Employment Type:

      Full time

      Shift:

      Day Shift

      Description:

      Works with various clinical departments and providers throughout the ministry organization to proactively implement changes in the charging process to enhance collection of revenue while meeting and complying with all local, state, federal, and third-party billing requirements. Collaborates with Revenue Integrity colleagues to performs root cause analysis on issues with pre-billing and identifies opportunities for optimization of revenue. May be responsible for local pricing decisions.

      Responsible for ensuring the integrity of the Charge Description Master (CDM) and the charge capture process by providing sound advice and leadership as it relates to individual procedures charged, CPT codes, billing requirements and compliance issues. Coordinates and implements changes in the CDM in all information systems and facilitates CDM requests with System Office CDM and Compliance team. Ensures CDM codes are compliant with Medicare and local payer guidelines.

      Works with various clinical departments and physicians throughout the ministry organization to proactively implement changes in the charging process to enhance collection of revenue while meeting and complying with all local, state, federal, and third party billing requirements. Collaborates with Revenue Integrity colleagues to perform root cause analysis on issues with pre-billing and identifies opportunities for optimization of revenue. May be responsible for local pricing decisions. Required to travel between locations within the Region.

      As a mission-driven innovative health organization, we will become the national leader in improving the health of our communities and each person we serve. By demonstrating reverence, commitment to those who are poor, justice, stewardship, and integrity, our organization will continue to provide better health, better care, at lower costs.

      Our Commitment to Diversity and Inclusion

      Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

  • About the company

      Trinity Health employs about 129,000 colleagues, including 7,500 employed physicians and clinicians. Committed to those who are poor and underserved in its communities, Trinity Health is known for its focus on the country's aging population. As a single, unified ministry, the organization is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services — ranked by number of visits — in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs.