Revenue Integrity Program Manager

🕒 July 23

🏄 California – Remote

🏄 California – Remote

💵 $66 - $88 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Program Manager

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Stanford Health Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1885

🏥 Healthcare

Healthcare

Stanford Health Care is a major academic medical center and integrated hospital system delivering comprehensive clinical care, specialty services, and patient support. The organization operates hospitals, outpatient clinics and programs, offers clinical trials and telehealth (video visits), and provides patient-facing services such as a MyHealth patient portal, billing/insurance assistance, and resources for referring physicians, nurses and allied health professionals. It also engages with the community through donations, visitor services, and COVID-19 resources.

📋 Description

• The Revenue Integrity Program Manager is responsible for optimizing hospital and professional revenue, identifying potential revenue leakage while ensuring compliance in charging and billing practices. • Interfacing directly with clinical departments leaders, Clinical Department Chairs, and School of Medicine Directors of Finance & Administration (DFA). • Supporting the accurate capture of charges, identifying opportunities to improve, and working closely with physician leadership and Compliance to provide education and training. • Conducting prospective and retrospective reviews/audits of charge capture practices in clinical departments. • Leading projects to improve revenue capture and reduce provider burden.

🎯 Requirements

• Bachelor's degree in a work-related discipline/field from an accredited college or university (or equivalent combination of education/experience) • Five (5) years of progressively responsible directly related work experience • Proficient in hospital and professional revenue cycle operations. • Expert in analyzing revenue data to identify trends and opportunities with the capacity to communicate findings effectively to varied audiences. • Solid understanding of coding conventions and current third-party payer rules and regulations • Knowledge of computer systems, specifically, Epic Care and related interfaces • Proven Ability to provide leadership skills in problem identification and issue resolution

🏖️ Benefits

• SHC Commitment to Providing an Exceptional Patient & Family Experience • C-I-CARE standards for all of patients, families and towards each other.