Senior Manager, Consulting
Bullhorn
Clinical Revenue Integrity Manager
USC Race and Equity Center
full-time
Posted on:
Location Type: Remote
Location: Remote • California • 🇺🇸 United States
Visit company websiteSalary
💰 $110,240 - $181,896 per year
Job Level
Mid-LevelSenior
About the role
- Manage the charge capture team and support unit and the area-specific charge capture of clinical services and procedures.
- Communicate missing or incomplete clinical documentation and charge entry errors for clinical department process improvement.
- Deliver direction to the documentation of all policies and procedures regarding charge capture and CDM Maintenance.
- Conduct meetings to evaluate department charge processes to improve charge capture and coding compliance.
- Coordinate with Keck Medical Center of USC Administration and other personnel on technology projects impacting charge entry.
- Respond to inquiries regarding Chargemaster and charge entry issues.
- Provide leadership by providing direction to the revenue auditor team.
- Perform maintenance to the Charge Description Master ensuring compliance with Medicare and third-party payers.
- Oversee the reviews and process requests for new code additions and corrections.
- Manage the charge capture team to ensure high integrity in executing charge methodologies.
- Train new employees on the charge entry process.
- Plan, organize, staff, and direct day-to-day operations of the department.
- Lead and conduct meetings with Operations Leaders, Revenue Auditors, and Clinical Department Staff.
Requirements
- Bachelor's Degree in healthcare related field.
- 5 years Experience in medical coding/ Chargemaster experience in a healthcare environment required.
- 1 to 2 years' of progressive lead/ supervisorial experience.
- Experience with inpatient and outpatient billing requirements (UB-04) and CMS Medicare reimbursement methodology.
- Knowledge of other government and third party payer reimbursement methodology required.
- Must be able to implement a systematic, self-motivated approach to problem solving and be able to identify, coordinate and optimize resources needed to execute plans.
- Excellent analytical, problem-solving, planning and evaluation skills.
- Demonstrates ability to utilize effective, appropriate and diplomatic oral and written communication skills.
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical codingChargemastercharge capturecoding complianceinpatient billingoutpatient billingCMS Medicare reimbursementthird party payer reimbursementcharge entrypolicy documentation
Soft skills
leadershipcommunicationanalytical skillsproblem-solvingplanningevaluationorganizational skillsteam managementtrainingmeeting facilitation
Certifications
Bachelor's Degree in healthcare related field
