DMC Rehabilitation Institute of Michigan is one of the nationâ��s largest hospitals specializing in rehabilitation medicine and research. RIM is known for its clinical expertise in spinal cord injury, brain injury, stroke, amputee, orthopedics and catastrophic injury care. The Institute houses the Center for Spinal Cord Injury Recovery and the Southeastern Michigan Traumatic Brain Injury System (SEMTBIS), one of only 16 federally designated model systems of care for brain injury care and research. RIM also operates 31 outpatient sites throughout southeast Michigan specializing in sports medicine and orthopedics.
Under general supervision, and according to established policies and procedures, provides business administrative support to the Ambulatory Services function for assigned hospital(s).
â�¢ Monitors work flow, processing, maintenance and follow-up of various registration, coding and billing actions including charge description master (CDM) maintenance, data entry of clinic charges into the billing system, coding, and correction of bill scrubber edits for physician facility and satellite charges.
â�¢ Serves as a liaison between physician and satellite clinics for registration and charge entry errors.
â�¢ Recommends corrective action to department leadership to reduce future billing errors.
â�¢ Coordinates monthly meetings with front end staff to provide education and training, share department performance metrics and resolve outstanding issues.
â�¢ Provides technical guidance and support for the billing software used in physician offices.
â�¢ Provides billing software training and support to the clinic staff.
â�¢ Provides interpretation and training to front end staff for all third party regulations and protocols.
â�¢ Ensures compliance with third party regulatory changes.
â�¢ Monitors and tracks third party authorization denials.
â�¢ Interprets the impact of regulatory and third party contractual changes on the business process of the practice.
â�¢ Responsible for physician charge capture.
â�¢ Proposes corrective mechanisms and actions for charge capture problem areas.
â�¢ Identifies opportunities for physician and satellite revenue enhancement.
â�¢ Assists leadership with the implementation of new business plans and policies.
â�¢ Provides assistance with the standardization of processes and procedures, as well as the implementation and evaluation of continuous improvement and quality assurance standards.
â�¢ As directed, provides input into procedure/protocol development, ensures compliance therewith and provides interpretation of procedural intent as requested.
1. Bachelors degree in Business Administration, Health Care Administration, Finance or related field, or the equivalent combination of education and/or experience.
2. Three years of progressively more responsible experience providing related administrative / operational / financial support.
3. Performance Improvement/Quality Assurance data analysis experience preferred.
4. Billing certification preferred.
Primary Location: Detroit, Michigan
Facility: DMC Sinai-Grace Hospital
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.