Director, Revenue Integrity
About The Position
The Revenue Integrity Director leads a high-profile group responsible for ongoing maintenance and development of the charge description master (CDM) for all Sentara hospital facilities as well as Sentara Physician Groups, and charge capture structures/methodologies in Epic. Ensures that all items on the CDM are a direct reflection of chargeable/billable services. This role requires a comprehensive understanding of Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) guidelines and Medicare regulatory guidelines, as well as the understanding of Epic build and its related charge capture processes. This role supports internal coding and charge audit functions and provides oversight to the responses for governmental audits such as HRSA and Third-Party Payer audits, participating in compliance related activities and clinical denial root cause analysis and process improvements. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills combined with superb analytic and organizational abilities. The ability to meet deadlines while influencing but not directly managing the work of others is necessary.
Requirements
- Bachelor's degree or equivalent.
- 10+ years' experience required
- 10 years relevant experience without a degree.
- 5 years leadership experience.
Benefits
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down - $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
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What This Job Offers
Job Type
Full-time
Career Level
Director
Industry
Hospitals
Number of Employees
5,001-10,000 employees
