Supervisor Revenue Integrity Program

Mount Nittany Health • Bellefonte, PA

105d

About The Position

The Revenue Integrity Program Supervisor provides leadership and oversight to the Revenue Integrity team and acts as a resource for clinical charging departments. Provides support and insight into Revenue Cycle processes including front-end avoidable denials, charge capture/ reconciliation, report trending and analytics, RI training/education as needed. Responsible for the overall timely and accurate capture of patient service revenue, oversight in the development, implementation, maintenance, improvements, and audit functions of Charge Description Master (CDM). Serving as liaison, this position is responsible for monitoring and communicating current regulations and reporting requirements as set by government or other payers, and ensuring any changes are properly implemented through project oversight. As lead, this position will partner with cross departmental and Executive leadership throughout the organization in support of Revenue Integrity.

Requirements

• Bachelor's degree in Business Administration, Health Administration, Finance, or closely related field, or equivalent training and experience.
• 3-5 years related professional/business experience in a technical/financial healthcare environment.
• Demonstrated experience in utilization of Epic.
• Knowledge of charging and billing best practices.
• Solid computer technical skills, including proficiency with Microsoft Office products.
• Excellent communication and customer service skills.
• Ability to make independent business decisions.
• Ability to streamline processes for efficiency.
• Strong analytical aptitude and experience creating financial analysis.
• Strong understanding of DRG and CPT/HCPC Medical Coding and Medical Terminology.
• Basic understanding of Accounting Principles and Hospital Financial Reporting.

Nice To Haves

• Certification as a medical coder through AHIMA (CCS, CCS P) or AAPC (CPC-H).
• Certification as a Revenue Cycle Integrity Professional (CRIP).

Responsibilities

• Provide leadership and oversight to the Revenue Integrity team.
• Act as a resource for clinical charging departments.
• Support and provide insight into Revenue Cycle processes.
• Ensure timely and accurate capture of patient service revenue.
• Oversee the development, implementation, maintenance, and audit functions of Charge Description Master (CDM).
• Monitor and communicate current regulations and reporting requirements.
• Implement changes through project oversight.
• Partner with cross departmental and Executive leadership.

Benefits

• Hybrid remote schedule, as determined by departmental needs.

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees