Revenue Cycle QA Audit/Trainer
Harris Health is a nationally recognized health system comprising three teaching hospitals and an extensive network of ambulatory care centers serving the people of Harris County, Texas, since 1966. Staffed by the faculty, fellows and residents from two nationally ranked medical schools, Baylor College of Medicine and The University of Texas Health Science Center at Houston (UTHealth), Harris Health is the first healthcare system in Houston to receive the prestigious National Committee for Quality Assurance (NCQA) designation for its network of patient-centered medical homes.
Each year, Harris Health provides more than 1.8 million total outpatient visits through its more than 40 ambulatory care facilities. Additionally, Harris Health sees more than 177,000 emergency visits at its Level 1 and Level 3 trauma centers and 35,000 hospital admissions through its three hospitals: Ben Taub, LBJ and Quentin Mease.
Established by voter referendum to enhance the level of charity care available in the community, Harris Health System has often received national recognition for serving those in need and for its achievements in operational excellence, such as being named to the 2011, 2012, 2013 and 2014 Most Wired Hospitals lists by the American Hospital Association’s Hospitals & Health Networks magazine.
Additionally, Harris Health System is pleased that each of its three hospitals — Ben Taub, Lyndon B. Johnson and Quentin Mease — achieved Pathway to Excellence™ designation by the American Nurses Credentialing Center.
Skills / Requirements
Responsible for all aspects of revenue cycle compliance auditing, and improvement implementation which include documenting processes, technical analysis and training program design, testing and final implementation. Develop, plan and customize training strategies to ensure a smooth and effective launch of Revenue Cycle Policy/Procedure Process Improvement training. Also, this position will develop, implement and coordinate staff training. This will include developing materials, scheduling of classes, and coordinating training with new or existing employees and other areas as needed. In addition, this person will work closely with employees and supervisors to monitor the work quality in order to ensure policy compliance and identify training needs.
This person must be able to have strong verbal and written communication skills to inform the Patient Financial Services Department of government policies and regulations that pertain to hospital billing practices. Successful candidate will understand quality assurance and process improvement, and support Patient Financial Services and Harris Health System goals, policies and procedures. This position will act as trainer and mentor of billing processes and policies, regulatory and performance improvement plans to the staff. Perform assessment of all aspects of patient billing operations, educate and train staff, promote regulatory compliance, serve as a resource for revenue cycle compliance, process improvement and quality assurance.
1) Education/Specialized Training/Licensure: Bachelor's degree in Healthcare or related field or equivalent
work experience in Hospital Patient accounts.
2) Work Experience (Years and Area): Five (5) years' experience in hospital billing, Federal and State
compliance, patient accounting, auditing, and training experience.
3) Management Experience (Years and Area): None
4) Equipment Operated: Personal Computer and Microsoft Office applications (Outlook, Word, Excel,
Above Average Verbal (Heavy Public Contract); Exceptional Verbal (e.g., Public Speaking);
Writing /Composing (Correspondence/Reports)
Analytical; Mathematics; Medical Terms; P.C.: MS Word; MS Excel
Work Schedule: Flexible
Other Requirements: Excellent organizational skills with high level attention to detail. Knowledge of Microsoft
Visio and PowerPoint.