Revenue Integrity Program Manager

🔥 14 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $66 - $88 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💹 Revenue Operations

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Stanford Health Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1885

🏥 Healthcare

⚕️ Healthcare Insurance

📚 Education

Healthcare • Healthcare Insurance • Education

Stanford Health Care is a major academic medical center affiliated with Stanford Medicine. It provides world-renowned patient care, emphasizes innovation and research, and offers a wide range of clinical services and career opportunities across nursing, advanced practice, allied health, laboratory, technology, administration, and other areas. The organization promotes values such as C-I-CARE (respect, courtesy, personal connection), sustainability, dedication, and community collaboration across physicians, researchers, professors, and students to advance health, healing, and knowledge globally.

📋 Description

• Charging Optimization: Conducts prospective and retrospective reviews/audits of charge capture practices in the clinical departments. • CDM Optimization: Works to ensure a compliant and consistent system CDM. • Department Education: In collaboration with the Compliance Department, provides education to clinical department staff regarding CPT codes, HCPCS codes, revenue codes and modifiers and their compliance use. • Project Management: Leads projects to improve revenue capture, increase efficiencies in the charge capture process, and reduce provider burden with the charging process. • Financial Analysis: Performs basic financial analyses to report the impact of charge capture practice changes and corrections to current practices. • Issue Resolution: Through the combination of EPIC WQs, external edit platforms, and ongoing evaluation, identifies charging issues and works to identify solutions. • Performance Review: Provides ongoing reporting of revenue performance to a variety of audiences including Chairs, Faculty, DFA’s, Division and Clinic Chiefs, Executive Director, Mid-Revenue Cycle, the Director of Revenue Integrity and others as appropriate.

🎯 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. • Strong Interpersonal skills facilitating seamless communication with clinical staff, and faculty. • Solid understanding of coding conventions and current third-party payer rules and regulations • Knowledge of management and supervision and the ability to organize staff’s work • Strong written and verbal communication skills to articulate analyses and finding to Chairs, DFAs and Clinical Operations leadership.

🏖️ Benefits

• Non Clinical COC - Certified Outpatient Coder preferred • CPC-H preferred • CCS - Certified Coding Specialist preferred • CPC and/or CCSP - Certified Professional Coder preferred • RHIT - Registered Health Information Technician preferred • RHIA - Registered Health Information Administrator preferred • Health insurance • 401(k) matching • Flexible work hours • Paid time off • Remote work options