Revenue Integrity Manager

Southwest GeneralMiddleburg Heights, OH
2d

About The Position

This position will be responsible for revenue recognition that is compliant with all applicable regulatory agencies and optimizing the health center’s revenue realization. Integrity. This position will have primary responsibility for the maintenance of the hospital’s Chargemaster. The role will handle review of new clinical product lines by performing firsthand analysis, including being able to draw conclusions and make recommendations from the analysis including pricing and payer acceptance. The manager will also be responsible for i nsurance payer plan maintenance.

Requirements

  • Bachelor's degree in finance, business management or related field required. Work experience will also be taken into consideration.
  • 5 years’ related experience in a hospital or Health System setting.
  • 2 years previous supervisor experience.
  • Professional appearance with a confident demeanor, allowing the incumbent to comfortably interact with all levels of management.
  • In depth knowledge of CPT, ICD10 and HCPC’s
  • Excellent written and verbal communications skills, including presentation skills.
  • In depth understanding of technical billing and revenue recognition, good working knowledge of professional billing.
  • Demonstrated record of identifying and achieving revenue realization improvements.
  • Excel, Word, and PowerPoint skills required.

Nice To Haves

  • RHIT/RHIA preferred.

Responsibilities

  • revenue recognition compliant with all applicable regulatory agencies
  • optimizing the health center’s revenue realization
  • maintenance of the hospital’s Chargemaster
  • review of new clinical product lines by performing firsthand analysis
  • pricing and payer acceptance recommendations
  • insurance payer plan maintenance
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