Supervisor Medical Group Revenue Integrity--Remote

Description

At Mercy One, health care is more than just a doctor's visit or a place to go when you need medical attention. Our Mission is based on improving the health of our communities - that means not only when you are sick but keeping you well.

Mercy One Central Iowa sets the standard for personalized and radically convenient care in the Des Moines metro area and surrounding counties. Mercy One Des Moines Medical Center, founded by the Sisters of Mercy in 1893, is the longest continually operating hospital in Des Moines and Iowa’s largest medical center, with 802 beds available. The hospital is one of the Midwest’s largest referral centers.

With more than 7,000 colleagues and a medical staff of almost 1,500 physicians and allied health professionals, Mercy One Central Iowa is one of Iowa’s largest employers.

Join the Mercy One Family as a Supervisor, Medical Group Revenue Integrity!

Uses specialized knowledge to support key areas of the organization related to an area of expertise. Frontline, department-based role that supervises daily functions of assigned area(s). Provides clear direction & manages / advances people, processes, structures & / or programs that support direct / indirect care. Demonstrates behaviors in alignment with culture & creates / supports comprehensive strategies & measures progress to achieve desired outcomes.

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
• Supervises revenue integrity operations for assigned ministries in a region. Provides oversight & leadership for a team responsible for, but not limited to, charge description master (CDM) maintenance, centralized charge control, pre-bill edits, accurate revenue & reimbursement, complex claim denial coordination, payer audits & denial/operational write-off prevention.
• Monitors work queues, performs and oversees data analysis & root cause identification to assist ministry stakeholders with corrective action plans. Responsible for building collaborative relationships with RHM leadership, Enterprise Patient Financial Services (EPFS) & other key operational and revenue stakeholders.
• Responsible for ensuring all charge revenue is identified in payer contracts, implemented at time of billing, charges are submitted accurately and timely and all expected reimbursements are received.
• Oversee complex case denial coordination with Enterprise Patient Financial services (EPFS), ensuring all denial prevention and resolution actions are performed timely.
• Performs root cause analysis on denials to gather a better understanding of issues. Prepares & conducts identified education & training services to departments & staff pursuant to denial analysis & root cause findings, regulatory changes & requirements, coding updates & managed care billing requirement changes.

• Must possess a comprehensive knowledge of medical group operations, as normally acquired through the completion of associate’s degree or related field & progressively responsible experience in healthcare revenue cycle operations including revenue integrity & charge control, preferably in a multi-site, integrated healthcare setting, or an equivalent combination of education & experience.
• Supervisory experience in a multi-facility, integrated health care delivery system or revenue cycle or revenue integrity consulting experience.
• Knowledge & experience in acute care & / or physician practice setting preferred.
• Supervisor or team leader experience preferred.
• Licensure / Certification: RHIA, RHIT, CCS, CPC/COC, or other coding credentials preferred.
• Experience in Charge Description Master (CDM) maintenance preferred.
• Must be comfortable operating in a collaborative, shared leadership environment.

Colleagues of Mercy One Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

Visit Mercy One Careers to learn more about the benefits, culture, and career development opportunities available to you at Mercy One Health System’s circle of care.

Iowa’s capital city offers a balanced…