Revenue Cycle Program Manager - Revenue Integrity (CDM)

UHS • Tredyffrin Township, PA

83d

About The Position

Universal Health Services, Inc. (UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services, with an impressive record of achievement and performance. The Corporate Business Office is seeking a dynamic and talented Revenue Cycle Program Manager – Revenue Integrity. As a Revenue Cycle Program Manager, you’ll be responsible for assessing current revenue cycle processes and workflows; identifying areas for efficiency and effectiveness enhancements, collaborating with teams to streamline processes, reduce and recover denials, and optimize cash flow. You will analyze and monitor revenue cycle metrics to identify trends, variances, and opportunities for improvement. Revenue Cycle Program Managers are experts in the subject matter and possess a comprehensive understanding of Revenue Cycle operations. They operate independently to analyze accounts receivable and ensure maximization of net revenue realization, stable cash collections, avoidance of denials, and measured reduction to bad debt. The Revenue Integrity Program Manager serves as a leader and subject matter expert for revenue integrity operations by optimizing revenue, supporting clinical and other colleagues in optimizing accurate charge capture, interpreting government regulations and payer requirements, and maintaining the chargemaster.

Requirements

• Minimum of 8-10 years of relevant experience.
• College degree in business, finance, healthcare administration, health information management, or similar.
• Demonstrated experience working in a patient accounting system, coordinating diverse stakeholders, improving Revenue Cycle operations, and utilizing pattern analytics and industry best practices.
• Experience with healthcare compliance, health information, inpatient medical billing and coding, and healthcare regulatory operations.
• Medical coding certification (e.g., CPC, CCS) is strongly preferred.
• Strong professional written and verbal communication skills.
• Proficiencies in Microsoft Office tools (e.g., Word, Excel, etc.).
• Ability to meet deadlines and multitask.

Nice To Haves

• Significant Revenue Cycle experience (i.e., 5+ years in addition to the minimum) might be accepted in lieu of certain college education requirements.

Responsibilities

• Monitors, reads, interprets, and disseminates regulatory and payer requirements to identified parties timely through the creation of communications, trainings, and policies.
• Performs and/or coordinates revenue integrity audits to verify adherence to policy, regulatory guidance and industry standards, analyzes audit findings to create action plans, and coordinates efforts for remediation as needed.
• Supports the implementation and maintenance of revenue cycle management software and tools based on end user requests and regulatory guidance.
• Communicates CDM maintenance activities to clinical departments and information systems staff to implement necessary changes that affect charge identification, capture, reconciliation, and claim processing.
• Responds to internal and external audit requests in a timely manner.
• Provides guidance, coaching, and mentorship to junior team members.
• Generates reports related to revenue cycle metrics, such as CDM accuracy, charge capture, claim denials, write-offs, and payment delays, and assists in analyzing trends.
• Performs all other duties as assigned/required.

Benefits

• Challenging and rewarding work environment.
• Growth and development opportunities within UHS and its subsidiaries.
• Competitive Compensation.
• Excellent Medical, Dental, Vision and Prescription Drug Plan.
• 401k plan with company match.
• Generous Paid Time Off.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees