Revenue Integrity Program Manager

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

📋 Description

• Conducts both prospective and retrospective reviews/audits of charge capture practices.

• Reports findings and delivers education to Providers and charge capture support personnel.

• Utilizes existing tools to assess CDM requests.

• Educates clinical department staff on coding and compliance matters.

• Leads initiatives aimed at enhancing revenue capture.

• Performs fundamental financial analyses to evaluate the impact of changes in charge capture practices.

⛳️ Requirements

• Bachelor's degree in a relevant discipline or field from an accredited college or university (or an equivalent combination of education and experience).

• A minimum of five (5) years of progressively responsible work experience directly related to the field.

• Proficiency in hospital and professional revenue cycle operations.

• Expertise in analyzing revenue data to uncover trends and opportunities.

• Strong interpersonal skills to facilitate effective communication with clinical staff and faculty.

• Solid understanding of coding conventions along with current third-party payer rules and regulations.

• Familiarity with computer systems, particularly Epic Care and its related interfaces.

• Excellent written and verbal communication skills to clearly convey analyses and findings.

🏝️ Benefits

• Exceptional patient and family experiences.

• Adherence to C-I-CARE standards.

• Comprehensive training provided.