Associate Director, Revenue Integrity

This is a fully remote position, open to applicants in Alabama, +35 more states.

📋 Description

• Oversee the operational functions of the Revenue Integrity Analyst team.

• Enhance revenue through effective charge capture reconciliation, charge capture reviews, education, and compliant processes.

• Mentor and develop team members while managing Revenue Integrity Specialists.

• Implement process changes and manage projects.

• Address inquiries from team members and external stakeholders.

• Analyze and track financial data related to charge capture, implementing process improvements as necessary.

• Act as a liaison between Revenue Integrity and clinical/operational departments.

• Assist finance, operations, and revenue cycle teams with special projects.

• Evaluate and communicate trends in deficient charging along with corrective action plans.

• Ensure billable items and services are charged accurately and promptly.

• Provide updates and recommendations to the Revenue Integrity Steering Committee.

• Maintain knowledge of regulations and develop policies and procedures for charge capture and reconciliation.

• Monitor and report on monthly revenue integrity KPI dashboard metrics.

• Establish charge capture review programs and coordinate documentation, coding, billing, and payment processes.

• Oversee charge reviews related to coding changes and new service lines.

• Identify issues related to compliance and revenue leakage.

• Manage charge capture, charge reconciliation, and chart reviews across the organization pertaining to charging issues.

⛳️ Requirements

• Bachelor’s degree in business, health care administration, or equivalent work experience.

• 5+ years of recent experience in Revenue Integrity.

• Minimum of 2 years in a leadership position, including performance management of direct reports.

• Must reside in one of the specified eligible states.

• Strong understanding of business and/or healthcare principles.

• RHIA, RHIT, CCS, CPC, or CCS-P certification may be required depending on the setting, or relevant work experience.

• Five or more years of experience in healthcare coding and billing.

• Comprehensive knowledge of ICD/DRG coding and/or CPT coding principles.

• Familiarity with AHIMA coding competencies.

• In-depth understanding of medical terminology, anatomy, and physiology.

• Knowledge of clinical records, coding conventions, reimbursement guidelines, LCDs/NCDs, and MACs/FIs.

• Strong critical and analytical thinking abilities.

• Capability to organize workload, meet deadlines, maintain confidentiality, research, interpret information, and develop recommendations.

• Exceptional written and verbal communication skills.

• Strong human relations and leadership skills.

🏝️ Benefits

• Banner provides necessary equipment.

• Comprehensive health, financial, and security benefits.

• Recognized as a Great Place To Work® Certified™ workplace.

• Maintains a drug-free work environment.