Revenue Integrity Manager

Avita Health System•Crestline, OH

10d•Onsite

About The Position

Avita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we’ve tripled in size, now employing over 2,300 team members and more than 200 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us. We’re currently seeking a dedicated Revenue Integrity Manager to join our Patient Financial Services Department at our Crestline location. Position Overview Supports the enhancement and maintenance of properly functioning revenue cycle processes to ensure the integrity of revenue charge capture and full collection of expected net revenue for both hospital and provider services. Oversees maintenance of hospital and provider chargemasters. Ensures organization is in compliance with all price transparency regulations.

Requirements

Bachelor’s degree in business, health or public administration, or a related field.
At least 7 years of work experience related to healthcare business operations, reimbursement, and/or revenue integrity.
In-depth understanding of payer contracting and reimbursement models.
Knowledge and understanding of managed care payer rules.
Understanding of coding classification systems, such as ICD-10-CM, ICD-9-CM, MS-DRG, APR-DRG, EAPG, and HCC.

Nice To Haves

Previous management or supervisory experience.
Knowledge of critical access and RHC reimbursement methodologies and cost report impact on final reimbursement.
Previous experience building and maintaining a contract management system.
Previous hospital billing experience and demonstrated knowledge of third-party and self-pay billing procedures and claim review and analysis.