Revenue Cycle HC Supervisor 2 - Revenue Integrity - FT Days

University of California, Irvine•Irvine, CA

10d•Onsite

About The Position

The Revenue Integrity department has systemwide responsibilities for charge capture integrity for both hospital and professional services. The incumbent serves as an expert in quality assurance of design, development and application of integrated charge capture systems and programming designed to bridge health informatics with charge capture, billing requirements, and workflow for optimal efficiencies and to secure reimbursement. Incumbent provides detailed and in-depth analysis, quality assurance, reporting consultation, and recommendations in support of revenue cycle management functions including programming modifications, clinical interpretations and education, audit and analysis. Incumbent regularly interacts with all levels of management and staff to provide education and training on necessary documentation, interpretation, and system applications, reporting capabilities, and modifications to workflow for appropriate charge capture and facilitate accurate reimbursement. Provides supervisory duties for the department.

Requirements

Subject matter expertise in healthcare revenue cycle operations, concepts, and policies with deep understanding of related functions, including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture.
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties.
Must possess a current Coding Certification (CPC, COC, or AHIMA equivalent).
Must demonstrate high level analytical skills.
Knowledge and understanding of interface communication systems and data transmission.
Familiarity with software packages.
Experience with both facility and physician provider charging and coding.
Excellent written and verbal communication skills in English.
Demonstrated customer service skills.
Demonstrated ability to work in a team environment.
Ability to maintain a work pace appropriate to the workload.
Ability to establish and maintain effective working relationships across the Health System.
5+ years' experience in a leadership/supervisory position in a Revenue Integrity or Revenue Cycle role.
5 years internal and/or external auditing experience.
Must be able to provide proof of work authorization.

Nice To Haves

Working knowledge of academic healthcare center policies and procedures related to revenue cycles.
Recent acute hospital experience.
Recent acute care hospital experience and ambulatory outpatient clinic experience.
Knowledge of UC policies and procedures.
Knowledge of California healthcare environment.
Familiarity with Microsoft Office Products.
Epic Resolute Professional Billing Certification.

Responsibilities

Serves as an expert in quality assurance of design, development and application of integrated charge capture systems and programming.
Bridges health informatics with charge capture, billing requirements, and workflow for optimal efficiencies and to secure reimbursement.
Provides detailed and in-depth analysis, quality assurance, reporting consultation, and recommendations in support of revenue cycle management functions.
Provides education and training on necessary documentation, interpretation, and system applications, reporting capabilities, and modifications to workflow for appropriate charge capture and facilitate accurate reimbursement.
Provides supervisory duties for the department.