Provides leadership and day-to-day operational management and direction for the local hospital(s) revenue integrity functions. Responsible for motivating staff to achieve the highest levels of performance, working in conjunction with all key stakeholders to prevent revenue leakage and maximize potential revenue for the region.
(Salary Range: $42.2592-63.3888)
- Provides leadership and day-to-day operational management and direction for the local hospital(s) revenue integrity functions.
- Manages Charge Description Master (CDM), pre-bill edits, root cause analysis, denials coordination with PBS, including complex case denials, denial prevention, audits, and education and training of multi-disciplinary hospital teams.
- Manages revenue optimization opportunities which may include charge control processes.
- Responsible for optimizing staff and overall revenue performance through process redesign, policy/procedure implementation, communications, continuing education and professional development activities, staff empowerment and feedback.
- Works with Revenue Integrity and Payer Strategies leadership to ensure understanding of payer contracts, application of contract terms and ensures alignment with processes.
- Bachelor's degree in finance, Business Administration or related field
- Nice to have: RHIA
- Nice to have: RHIT
- Nice to have: CCS
- Nice to have: CPC
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