Revenue Integrity Manager

Revenue Integrity Manager page is loaded## Revenue Integrity Manager locations:
Virtual - Remote time type:
Full time posted on:
Posted Todayjob requisition :
R26 Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.
** Benefits Eligible
** Full-Time Benefit Eligible
** Work Shift
** Day - 8 Hour or less Shift (United States of America)
** Department
* * 8595 Revenue Integrity The Revenue Integrity Manager serves as a leader in the revenue cycle and is responsible for supporting the revenue capture and daily charge reconciliation processes by collaborating with the clinical directors of revenue related departments within the health system, to optimize the charge capture process. The Revenue Integrity Manager will be responsible for improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation.

QUALIFICATIONS License /Certification  Preferred: RHIA, RHIT, or CCS; or CIC and COC    Education

Required:

Bachelor's degree in Accounting, Business Administration, Healthcare Administration or related field; OR Four to five years healthcare experience may be substituted in lieu of education and experience    Preferred:
Master’s degree in Accounting, Business Administration or related field      Experience

Required:

Four years healthcare experience in a role related to revenue capture/charging, coding and compliance, preferably in a full-service acute care hospital.
Preferred:
Previous experience working clinically as an LVN/RN, preferably in an acute care setting.

Knowledge/Skills/Abilities  Strong knowledge of CMS regulations and compliance relative to the OPPS and IPPS.  Strong knowledge of correct coding initiatives (CCI) edits and corrective action steps to maintain charging and coding compliance; best practice charge structures by specialty; coding CPT4, HCPCS, Revenue Codes, Modifiers.  Excellent communications skills both verbal and written.  Skill and ability to make decisions and solve problems by identifying creative options and/or solutions.

Excellent analytical and problem-solving skills.  Skill and ability to effectively manage multiple tasks and priorities within a fast-paced environment.  Skill and ability to anticipate, manage, and adapt to change.  Knowledge and skill to gather and summarize data from multiple sources and analyze using common statistical functions.  Skill and ability to operate independently and collaboratively as part of a team.  Skill and ability to manage internal and external relationships.  

Skill and ability to lead and take initiative.  Knowledge of Medicare and Medi-Cal Billing Guidelines.  Knowledge of Anatomy and Medical Terminology.  Knowledge of Microsoft Office.
JOB RESPONSIBILITIES  Essential    Creates and manages a system wide program to identify charge capture opportunities and trends while working directly with both clinical and operational areas to implement any required changes to optimize charge capture and reconciliation while reducing late charges.
Collaborates with and directs department leadership to analyze billing and charge capture procedures and identify problems to increase revenue and reduce unbilled accounts.
Provides education, training and advice to a variety of clinical departments on improved revenue capture processes and procedures related to charge reconciliation and late charge…