Revenue Integrity Manager

Category : Finance & Accounting
Location/City : AR - Little Rock
Id : 41241

Are you ready to be a part of a progressive healthcare employer? Apply today and join an organization that will give you the opportunity to provide patient centered care, the freedom to share you compassion for others, and the unlimited potential to grow your career.
We are seeking Revenue Integrity Manager. In this position, you'll lead the team in finding revenue leakage, process improvements, department education, and denial management efforts.
Are you ready to make a difference in the way healthcare is delivered?
Job Duties & Responsibilities
  • Analyze, monitor, and recommend policies and procedures needed to attain goals, maximize reimbursement, and meet compliance guidelines
  • Work effectively with other departments of the Revenue Cycle and Baptist Health to ensure success of the whole
  • Local travel required to meet with various clinical departments in all of the Baptist Health facilities
  • The Revenue Integrity Manager has extensive knowledge and experience in medical coding and charge capture functions
  • He/She will manage a team of Revenue Integrity auditors, ED charge capture representatives, and CDM personnel
  • He/She will also work closely with the PFS Director and clinical departments to ensure compliance and accuracy in charging/billing
  • He/She will work with government and non-government payers on denials, C DM, and charge capture practices
  • This position requires and maintains current knowledge of billing and coding guidelines and licensure

Skills & Requirements
  • Bachelor degree in Finance, Business Administration and/or related field or minimum of 5 years of experience in hospital setting dealing with medical data and documentation
  • Extensive knowledge in medical coding such as C PT, IC D, and DRG. Knowledge of Medicare, Medicaid and other regulatory requirements Knowledge of UB-04, itemized bills, insurance plans, grievance procedures and utilization management process required
  • Knowledge of the operations of patient billing required
  • Previous experience in administrative or supervisory role
  • Ability to hold others accountable to performance related to lost revenue due to denials

Lets Go!