Revenue Integrity Supervisor, Physician Billing

Revenue Integrity Supervisor, Physician Billing

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The revenue integrity supervisor is a critical role responsible for optimizing professional services revenue, identifying potential revenue leakage while ensuring compliance in charging and billing practices within the healthcare system.

Through a combination of data analytics and process improvement techniques, this role will support the accurate capture of charges, identify meaningful opportunities to improve, and work closely with physician leadership and compliance to provide education and training. The position will also provide ongoing communication through reports and regular presentations, handle intake of requests, and drive improvement opportunities.

Supervises the revenue integrity team to ensure complete, compliant, and timely professional services charge description master updates for the health system. Leads revenue integrity projects related to integration of new specialties or changes in workflow that impact multiple departments.

Plans, coordinates, monitors, and manages the workflows to ensure effective and efficient daily operations of the Revenue Integrity team. Provides training and education to employed and contract billable providers regarding charge selection/entry and documentation requirements. Ensures billable charges are captured and oversees data analytics and management reporting.

• Charging Optimization:
  Conduct prospective and retrospective reviews/audits of charge capture practices, report findings, provide education to providers and charge capture staff, coordinate improvement tools with Revenue Cycle IT, and report potential compliance issues.
• CDM Optimization:
  Ensure a compliant CDM, evaluate requests with focus on regulatory coding and adherence to internal guidelines for naming and pricing.
• Department
  
  Education:
  
  Provide education to clinical staff on CPT, HCPCS, revenue codes, and modifiers.
• Project Management:
  Lead projects to improve revenue capture, reduce inefficiencies and provider burden.
• Financial Analysis:
  Perform basic financial analysis to report the impact of charge capture changes.
• Issue Resolution:
  Identify charging issues and propose solutions through EPIC WQ, external edit platforms, and ongoing evaluation.
• Workflow Management:
  Plan, coordinate, monitor, and manage Revenue Integrity workflows.
• Trend Investigation:
  Educate providers on charge capture, reconciliation, and billing/coding guidelines.
• Department Support:
  Assist clinical departments with deployment and continuous improvement for compliant charge capture.
• Standardization:
  Maintain CDM and charge capture standardization across the health system.

• Proficient in hospital and professional revenue cycle operations.
• Expert in analyzing revenue data to identify trends and opportunities and communicate findings.
• Aligned with Erlanger Health's mission, vision, and values.
• Strong interpersonal and communication skills with clinical staff and faculty.
• Solid understanding of coding conventions and third‑party payer rules.
• Knowledge of management and supervision to organize staff work.
• Computer proficiency in EMR, database systems, and relevant office software.
• Independent problem‑solving and critical thinking skills.
• Knowledge of comprehensive medical record requirements per Erlanger bylaws and regulations.
• Excellent written and telephone communication skills.
• Adherence to confidentiality and privacy regulations (HIPAA, federal, state).
• Organizational skills for prioritization during job performance.
• Proficiency with Windows OS, Microsoft Office, EHR, Document Imaging, and office equipment.

• High school graduate or equivalent.
• CPI Annual/Biannual training, if applicable.
• Working‑level knowledge of English (reading, writing, speaking).

• Associate or Bachelor’s degree in business administration, finance, or related field.

• 5 years of management experience in clinical billing or healthcare with extensive knowledge of ICD‑10‑CM and CPT coding.
• Good organizational, written, and verbal communication skills.

• N/A

• Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Coding Specialist, Registered Health Information Technician (RHIT), or Registered Health Information Administrator.

• Certified Revenue Integrity/Cycle as RCMS, CHRI, or CRCS.

Erlanger Baroness Hospital Chattanooga, TN

Standard

Hours:

Regular

Mid‑Senior level

Full‑time

Accounting/Auditing and Finance

Hospitals and Health Care