Manager Revenue Integrity
New
V
Vail HealthHealthcare
Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, FL, GA, ID, IL, KS, MA, MD, MI, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI.Full-TimeManager
Salary76,939.2 - 109,907.2 USD per year
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Job Details
- Languages
- Must have working knowledge of the English language, including reading, writing, and speaking English.
- Experience
- Five years healthcare-revenue cycle experience required, including two years in Revenue Integrity.
- Required Skills
- HIPAA
Requirements
- Five years of healthcare revenue cycle experience, including at least two years in Revenue Integrity.
- Prior experience with Charge Description Master (CDM) or charge capture.
- Demonstrated knowledge of healthcare industry laws and regulations.
- Proficiency in medical terminology, hospital charge masters, charge review, and coding methodologies.
- Prior experience leading and managing complex projects.
- Bachelor’s degree (or equivalent related experience in lieu of degree).
- Must be HIPAA compliant.
- Working knowledge of the English language (reading, writing, and speaking).
- Prior supervisory experience is preferred.
- Preferred certifications include RHIT, RHIA, CPC/CPC-H, CCS/CCS-P, CHRI, CRCR, or CRCP.
Responsibilities
- Supervise, train, and develop Revenue Integrity team members to ensure effective revenue cycle operations.
- Oversee the management and maintenance of the Charge Description Master (CDM) to ensure accuracy and compliance.
- Implement strategies to improve charge capture and prevent revenue leakage.
- Develop organizational policies and procedures regarding pricing, CDM audits, and charge reconciliation.
- Lead the RAC Denials team to track and monitor coding-related denials in partnership with Patient Financial Services.
- Analyze financial and clinical data to identify revenue improvement opportunities, performance trends, and risks.
- Collaborate with finance, billing, and compliance departments to ensure organizational alignment.
- Provide education to departments regarding charges and charging practices in electronic medical record systems.
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