Clinical Revenue Cycle Specialist

The word “first” is inextricably linked with The Children's Hospital of Philadelphia. Since opening its doors in 1855 as the nation's first hospital devoted exclusively to the care of children, Children's Hospital has been the setting for many dramatic firsts, medical discoveries and breakthroughs that have formed the very foundations of pediatric medicine and benefited children throughout the world.Today, The Children’s Hospital of Philadelphia is a growing network of facilities and resources that provides exceptional healthcare to all children, for every possible need.Find out why we were ranked the #1 pediatric hospital in the nation by both Child Magazine and U.S. News & World Report. If you're looking to join a pediatric institution as your employer of choice, you need to look at the best in the nation.Responsible for conducting process improvement assessments of revenue cycle operations in clinical areas to meet the needs of both internal and external customers. Functions as the project manager of the "Revenue Assessment Team" for assessments in assigned departments or clinical areas. Analyzes the assessment results, develops recommendations for process improvement, and monitors the results of implemented changes. Works with the PARC departments, Information Technology, and other clinical/operational areas to implement the process improvement strategies. Functions as a resource to the Business Office and assigned revenue-generating clinical areas in the correlation of clinical services provided and the subsequent billing that must occur. Conducts Third Party Payor and other chart/bill audits as requested by external customers. This position will include assisting in any education that may be needed related to charge capture, coding, documentation, and the reconciliation process.If you are a results-oriented individual with a passion for excellence, we invite you to learn more about the many opportunities and benefits The Children's Hospital of Philadelphia offers. Our employees enjoy a competitive compensation package that includes major medical, vision and dental benefits; tuition assistance; employer contribution retirement plan; work/life benefits; extensive training and staff development. And, of course, the opportunity to challenge themselves at a world-class institution.
REQUIREMENTS
Registered nurse or other licensed health care practitioner required (PA/NJ licensing preferred).Coding certification preferred. Bachelor's degree in clinical program required. Master's degree preferred. Minimum five (5) years of varied clinical experience as a RN, APN, or other clinical specialist required. Pediatric experience preferred. Working knowledge of coding rules required or willingness to obtain within 3 months of hire. Experience with billing and documentation systems preferred. Clinical expertise in Pediatrics preferred. Ability to work effectively with all members of the health care team. Working knowledge of chart/bill audits or ability to abstract medical information. Strong analytical and organizational skills. Excellent verbal and written communication skills. Must be able to work independently. Strong project management skills. Will be required to manage multiple complex projects simultaneously. Effective leadership skills. Must be detail, action, solution, and results oriented. Working knowledge of revenue cycle processes. Computer skills essential. Will need to use Word, Excel, PowerPoint, and Visio at a minimum.