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Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
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Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law.
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Develops, implements and maintains Revenue Integrity and CDM Management policies, procedures and training materials. Activities include analysis (including root cause), monitoring & auditing, reporting & education with regards to Revenue Cycle training & problem resolution with all level of leadership including physicians, service line VP's, CAO's, CFO's etc.
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The position provides practice and regulatory guidance and enhancement to facilities and physician practice or department & physician organization's Revenue Cycle Center (RCC) with end to end procedure optimization.
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Incumbent will be responsible for Revenue Cycle analysis and evaluation for all practices and the RCC. Provides guidance, communication and education on correct capture, coding and billing processes to multiple clinical departments and practices.
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Interpret and understand the needs of the customer in order to create a compelling, well-articulated value proposition that aligns the Organization's products / services with the customers' healthcare strategy.
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