TC
ESSENTIAL FUNCTIONS
• Develops a mastery of the RCM systems to provide training, implementation, best practices and analysis of system performance and for end users and stakeholders.
• Maintains RCM system performance through system monitoring, reconciliations and work closely with IT and RCM for efficient and expected operations.
• Regular audits end to end claim through put accuracy and compliance from order to template, charge entry, billing and payment posting. Develops recommendation plans for improvement based on trends.
• Assesses reports of billing system or workflow disconnects that have created financial or compliance consequences. Investigates the report of charge, claim or payment posting disruptions.
• Provides billing implementation support and system reviews.
• Provides regular billing system maintenance including table updates, enhancement and upgrade implication assessments, charge master hygiene, transactional code set up and maintenance and database updates.
• Answer ...