Supervisor, Medical Group Revenue Integrity

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

📋 Description

• Oversee revenue integrity operations for designated ministries within a specific region.

• Provide guidance and leadership for a team tasked with CDM maintenance, centralized charge control, pre-bill edits, accurate revenue and reimbursement, intricate claim denial coordination, payer audits, and prevention of denial/operational write-offs.

• Monitor work queues and execute or supervise data analysis and root-cause identification.

• Assist ministry stakeholders in developing corrective action plans.

• Foster collaborative relationships with RHM leadership, Enterprise Patient Financial Services, and other operational and revenue stakeholders.

• Ensure that charge revenue is accurately identified in payer contracts, implemented at the billing stage, submitted promptly, and reimbursed as anticipated.

• Supervise the coordination of complex case denials in collaboration with Enterprise Patient Financial Services.

• Ensure timely completion of denial prevention and resolution actions.

• Conduct root-cause analysis on denials.

• Prepare and deliver education and training for departments and staff based on denial analysis, root-cause findings, regulatory updates, coding changes, and adjustments in managed-care billing requirements.

• Manage daily functions of assigned areas and enhance people, processes, structures, and programs that support care.

• Exhibit alignment with Trinity Health’s Mission, Vision, and Values.

⛳️ Requirements

• An associate’s degree or a related field along with progressively responsible experience in healthcare revenue cycle operations, including revenue integrity and charge control, or an equivalent combination of education and experience.

• Supervisory experience in a multi-facility integrated healthcare delivery system or experience in revenue cycle/revenue integrity consulting.

• Extensive knowledge of medical group operations.

• Preference for knowledge and experience within an acute care and/or physician practice setting.

• Preferred experience as a supervisor or team leader.

• Preference for RHIA, RHIT, CCS, CPC/COC, or other coding credentials.

• Preferred experience in Charge Description Master (CDM) maintenance.

• Must be comfortable working in a collaborative, shared leadership environment.

🏝️ Benefits

• Competitive compensation.

• Comprehensive benefits package.

• Opportunities for growth within the system.

• Career development opportunities.