- Lawrenceville, New Jersey, United States
- Full-time · Manager
- $42–$55 per hour
- 4+ years
Leads daily operations of Revenue Integrity work queues and staff, ensuring accurate, compliant, and timely pre-bill claim readiness across hospital and ambulatory services.
Compensation
Pay Range: $41.81 - $54.65
Responsibilities
- Supervises day-to-day Revenue Integrity operations and staff performance across assigned work queues.
- Assigns, prioritizes, and monitors work based on risk, filing timeliness, and financial exposure.
- Oversees pre-bill charge integrity review, including missing/incorrect CPT, HCPCS, revenue code, and unit corrections.
- Oversees authorization integrity workflows including pre-service verification and post-procedure pre-bill validation.
- Oversees surgical/procedural revenue integrity controls, including implant/drug/device reconciliation and hold/release management.
Requirements
- Associate degree in Nursing
- Health Information
- Healthcare Administration
- Business
- or related field