Manager, Clinical Finance Case Management-RN - The James in , for The Ohio State University

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Manager, Clinical Finance Case Management-RN - The James

Scope of Position Revenue Cycle Clinical Support Office (RCCS) is an area within Access and Revenue Cycle Management Shared Services responsible for Clinical Pre-Certification Case Reviews Pre-billing edits in-patient account validations supporting Utilization Management Peer to Peer processes complex billing scenarios audits (governmental commercial compliance and internal) clinical appeals and denial management. RCCS is integral to the Revenue Cycle and supports cash collection through preventing and appealing denials.Position Summary Responsible for daily operational management of Revenue Cycle Clinical Support Staff primarily involving the oversite of Clinical Pre-Certification Peer to Peer Clinical Appeals Denial

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