AdventHealth

Revenue Integrity Manager

AdventHealth

full-time

Posted on:

Origin:  • 🇺🇸 United States • Florida

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Job Level

Mid-LevelSenior

Tech Stack

Go

About the role

  • Lead and manage Revenue Integrity Team to implement and execute Revenue Integrity goals, roles and responsibilities
  • Champion, communicate, and execute Corporate Revenue Integrity objectives
  • Identify areas for process improvement in current business processes, and effectively communicate and execute these solutions
  • Manage risk assessments, support the development of action plans, and monitor service line performance improvements
  • Establish, measure, and document KPIs and mitigation plans, including Revenue Integrity Scorecard improvements and other quality controls
  • Identify trends based on CDS information and oversee Revenue Integrity team’s root cause analyses and action plans
  • Use data and reports to perform root cause analysis to identify areas of strengths, weaknesses, opportunities, and threats to revenue integrity
  • Collaborate with Corporate Revenue Integrity to share lessons learned and recommend solutions
  • Develop a deep understanding of all in-scope facilities charge capture workflows at the department level
  • Support Division growth goals and revenue integrity optimization by developing methods to effectively communicate information
  • Document, escalate, and manage issues that arise and impact Division Revenue Integrity operations
  • Develops policy and procedures; educate entities on revenue integrity functions as needed
  • Independently lead, manage, monitor, and control revenue integrity projects as directed
  • Complete duties and special assignments as requested; perform other duties as assigned

Requirements

  • Bachelor's Degree in Business, Accounting, Finance, Health Administration, or another related field
  • 3+ years experience
  • 3+ years of experience in healthcare revenue cycle with a focus on one or more of the following areas: coding, charge integrity, charge reconciliation, charge compliance, charge auditing, CDM (Charge Description Master) compliance, and Hospital / Professional Billing
  • Demonstrated leadership ability, including the ability to work in a team, build consensus, problem-solve, influence others outside a direct reporting relationship, and handle conflicts with tact
  • Self-directed with the ability to work with various stakeholders and teams
  • Established ability to manage projects, investigate, analyze, and resolve issues at a high level
  • Excellent communication, presentation, organizational, analytical, and problem-solving skills
  • Advanced knowledge of Microsoft applications including Word, Excel, Visio, Outlook, and PowerPoint
  • Ability to travel within state and out of state up to 25%
  • Preferred: Master's of Science in Health Administration (MHA) or Masters of Science in Nursing (MSN) / MHA or MSN in progress
  • Preferred: MBA / MBA in progress
  • Preferred: Epic experience
  • Preferred: HFMA’s Certified Healthcare Financial Professional (CHFP) or Certified Revenue Cycle Representative (CRCR); or NAHRI’s Certification in Healthcare Revenue Integrity (CHRI)