Manager, Revenue Integrity (1874)
About The Position
US Heart and Vascular is needing a Remote Revenue Integrity Manager to join our team. Position Summary The Revenue Systems Integrity manager is responsible for conducting documentation, coding education, and workflow education for clinicians and operations leaders in collaboration with Compliance and Revenue Cycle leadership. The Revenue Systems Integrity manager analyzes reports to identify documentation, coding, and workflow gaps impacting revenue cycle. This highly collaborative role requires strong relationship-building skills with clinical leadership and staff, promotes workflow standardization across USHV care sites, and ensures alignment of high-quality documentation and coding that supports compliant and accurate medical record documentation.
Requirements
- Expertise in medical coding and documentation requirements of office and hospital-based services.
- High-level understanding of all federal/governmental regulations, coding guidance, and revenue cycle policies and procedures
- Proficiency in Microsoft Office suite and expert knowledge of multiple EMR platforms
- Excellent written and presentation skills
- Ability to identify emerging issues and communicate to leadership
- Ability to work effectively under pressure due to changing priorities, interruptions, and workload variability
- Ability to exhibit leadership by demonstrating a commitment to teamwork, supporting the alignment of USHV goals and objectives, assisting others in developing their knowledge of the department, adapting to change positively that exemplifies commitment, and working proactively with minimal supervision
- Ability to resolve conflict by persuading others through explanation to accept a course of action and approaching conflict from a positive viewpoint
- Associate or bachelor’s degree in health information management or related field (or equivalent professional experience required)
- eClinicalWorks(eCW) experience required
- Experience in leading CDI activities: 3 years
Nice To Haves
- MURJ, Coresound, PMD, Rhythm Express experience a plus
- Interface reconciliation experience a plus
- Registered Health Information Administrator (RHIA) a plus
- Registered Health Information Technician (RHIT) a plus
- Certified Documentation Improvement Practitioner (CDIP) a plus
- Certified Coding Specialist (CCS) a plus
- Certified Coding Specialist-Physician-based (CCS-P) a plus
- Certified Professional Coder (CPC) a plus
- Experience in cardiology or multi-specialty
- Clinical background or operations experience a plus
Responsibilities
- Maintains knowledge of current trends and practices in clinical documentation improvement, and government regulations.
- Has a deep understanding of clinical workflows and documentation requirements.
- Represents RCM coding with clinician and operations stakeholders.
- Ensures that established key performance indicators are met.
- Collaborates with compliance department to ensure correct coding and billing outcomes.
- Develops standardized charge capture processes including daily reconciliation and reporting for all clinical departments.
- Stays abreast of major organizational initiatives and partners with clinical and clinical informatics leadership to address documentation needs as they arise.
- Identifies clinical issues and fosters excellent communication with physicians, APPs, coding, compliance and other RCM team members to work independently to resolve such issues.
- Contributes to developing an effective coding and documentation training program for new provider onboarding.
- Creates procedure documentation, tip sheets, and other reference materials in collaboration with coding and compliance.
- Monitors performance standards drives educational programming, if necessary, to improve quality.
- Leads training initiatives in collaboration with Coding and Compliance leadership.
- Works with outside technology vendor partners on workflow/reconciliation improvements.
- Obtains and promotes appropriate clinical documentation through extensive interaction with clinical staff and coding staff to ensure that the documentation of the level of service rendered to the patient and the patient’s clinical complexity is complete and accurate.
- Implements process improvement strategies designed to streamline workflow, automate, and optimize technologies.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Associate degree
