REVENUE INTEGRITY MANAGER
About The Position
UW Medicine's Revenue Integrity (RI) Department is a shared services organization that supports all of UW Medicine entities, including UW Medical Center (UWMC) and Harborview Medical Center (HMC). The Revenue Integrity Manager will be an Epic systems expert and an operational subject matter expert on the entire revenue cycle. This role involves managing the Revenue Integrity Analyst (RIA) team, who are responsible for ensuring all revenue is captured appropriately, billed in a timely and compliant manner. The manager will also proactively identify processes to pinpoint root causes of charge/billing errors and conceptualize process changes for service line leaders by developing education plans.
Requirements
- Bachelor's Degree in a healthcare-oriented field - Equivalent experience may substitute for degree requirement.
- 6-8 years’ experience effectively working with multiple, diverse stakeholders in a complex environment.
- 6-8 years' recent experience in healthcare finance/revenue cycle management/revenue integrity.
- 6-8 years’ experience serving in a team leadership role hiring, coaching, mentoring staff.
- Coding credentials CCS, COC, RHIT or RHIA from AAPC, or AHIMA – if not credentialed, must be credentialed within one year of hire date.
- Excellent communication and interpersonal skills, both verbally and in writing, with employees, medical staff, board members and external parties; strong presentation skills.
- Exceptional attention to detail, analytical skills and independent motivation.
- Proven analytic and problem-solving skills including the ability to extract and analyze relevant data.
- Ability to self-manage, prioritize multiple tasks, adjust to change, and handle stress.
- Detailed knowledge of ICD-10-CM, ICD-10-PCS, CPT, DRG, and HCPCS coding guidelines.
- Understanding of hospital billing or reimbursement and charge capture operations.
- Proven capability to motivate, collaborate, effect change, and promote teamwork.
- Demonstrated working knowledge of considerations and processes surrounding Revenue Cycle Operations in a healthcare environment, including both hospital and physician settings.
- Understanding of CMS and Medicaid regulations and ability to interpret healthcare guidelines and regulations.
- Demonstrates knowledge and proficiency of standard Microsoft Suite including Teams, Word, Excel, Visio, Outlook, and PowerPoint.
Responsibilities
- Serves as a liaison and works with departmental and clinical leadership to resolve issues affecting delayed or missing charge capture.
- Assist RIAs with preparing departmental summaries that pinpoint root causes of charge/billing errors and conceptualize process changes for service line leaders; uses hospital denials data to support findings, as needed.
- Develop and maintain a service-oriented relationship with executive project sponsor(s), organization leadership, principal stakeholders, and project teams.
- Communications, relationship development and progress/status reporting.
- Collaborates with key constituents in different functional areas to create charge and billing reports that meet the organization’s requirements and trains individual departments on how to properly generate such reports.
- Provide regular status of current efforts, achieved milestones, and current risks and issues to Director and Senior Director of Revenue Integrity.
Benefits
- For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/
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What This Job Offers
Job Type
Full-time
Career Level
Manager
