Manager, Revenue Integrity

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee all activities related to Revenue Integrity and charge capture, as well as department performance.

• Develop and execute both short- and long-term strategies to address Epic revenue integrity edits within specified timelines.

• Ensure adherence to compliant charge capture practices and timely submission of claims.

• Minimize denials and collaborate with Revenue Cycle departments to manage DNFB, guaranteeing prompt insurance payments.

• Lead initiatives for process improvement, including planning, prioritization, performance evaluations, and execution.

• Establish behavioral and performance benchmarks for the department.

• Manage revenue integrity efforts across Ensemble clients.

• Detect charge capture trends and challenges, providing education to clinical staff on charge capture and revenue reconciliation.

• Coordinate weekly and monthly departmental meetings.

• Conduct interviews, hire, staff, assess performance, develop, mentor, and discipline employees.

• Create and sustain training and educational programs for both new hires and existing staff.

• Formulate and execute job standards, responsibilities, policies, and performance evaluations.

• Compile monthly analytics reports.

• Set departmental objectives to enhance performance, achieve budgetary targets, improve operations, and elevate customer satisfaction.

• Gather, analyze, and communicate performance data using a variety of tools and systems.

• Make informed decisions aimed at achieving performance objectives and influencing organizational or patient outcomes.

• Collaborate with both internal and external stakeholders and ancillary departments.

• Support strategic planning and the continuous assessment of process improvements.

• Review, update, and implement relevant policies and procedures.

⛳️ Requirements

• CRCR certification through HFMA, a coding certification or equivalent, or another approved job-relevant certification.

• 5 to 7 years of overall professional experience.

• 3 to 5 years of experience in a leadership role.

• High school diploma, GED, or equivalent experience.

• Education in business or healthcare fields.

• 5 or more years of experience in Revenue Integrity or Revenue Cycle Operations.

• Background in healthcare operations, Revenue Cycle Operations, charge capture, and billing.

• Must reside and be authorized to work in the United States.

• Capability to work in a general office setting or remotely from home.

🏝️ Benefits

• Comprehensive benefits package that includes healthcare, time off, retirement plans, and wellness programs.

• Professional certification opportunities relevant to the associate’s field.

• Tuition reimbursement available.

• Incentive programs offered quarterly and annually.

• Flexibility in work-life balance.

• Opportunities for professional growth and development.

• Option for remote work arrangements.