Contracting Sys Coord

Summary:
The Contracting System Coordinator reports to the Manager of Revenue Integrity. Under general supervision is responsible for correcting charges in revenue work queues charge router work queues and/or working with departments to correct charges. The position is also responsible for applying HCPC�s to supply charges providing the information to Materials Management and ensuring that the information interfaces correctly into LifeChart.

 

Responsibilities:
Work Queue�s (WQ�s)



Reviews charge review WQ�s both managed by the Revenue Integrity Team and by revenue departments. Works with departments to trouble shoot issues and follow up on delinquent charges. Applies corrections to charges when appropriate or research corrections.



Calls Lifespan physician practices when diagnosis codes may be missing for lab charges. Scans documentation of valid diagnosis codes into LifeChart and updates accounts removes account flags so that claim can be billed or submit charges to be written off if diagnosis does not support the charge or physician practice is unresponsive.



Monitors WQ�s for charging errors related to date of service issues. Corrects claims when documentation supports the correction or reaches out to appropriate parties for corrections.



Takes notes at weekly and monthly staff meetings and keep on department shared drive.



Updates department log with issues and solutions based on findings from the team.



Serves as a backup for validating weekly pricing updates into LifeChart as well as validate Chargemaster changes.



Materials Management / Supply Process



Receives requests from Materials Management and determine if supplies are chargeable using Lifespan�s supply charging guidelines. If chargeable researches HCPC�s guidelines and manufacturer�s websites for guidance on HCPC assignments. Submits files back to Materials Management. Monitors LifeChart to ensure that information interfaces correctly to LifeChart. Provides coverage for miscellaneous supply charge WQ when needed identifies supplies that are consistently charged with miscellaneous codes and identifies solutions to have supplies interface properly through the People Soft (SUP) interface.



Develops recommendations for changes to operations which result in automated solutions that are logical economical practical and responsive to needs of users.



Performs other related duties as required.

 

Other information:
BASIC KNOWLEDGE:



High School Diploma with additional courses in hospital or professional coding and/or computer science required. Associate's Degree or equivalent preferred. Knowledge of hospital and/ or professional billing hospital and/or professional coding registration insurance payers preferred.



EXPERIENCE:



Two to five years of experience in healthcare with a heavy emphasis in one of the following areas: billing coding and/or follow-up. Proficient in Microsoft Outlook and Office specifically MS Excel. Highly organized with strong project management skills including the ability to meet deadlines effectively communicate with all levels of the organization and work as part of a team.

 

Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status.   Lifespan is a VEVRAA Federal Contractor.

 

Location: Corporate Headquarters USA:RI:Providence

 

Work Type: Full Time

 

Shift: Shift 1

 

Union: Non-Union