Revenue Integrity Program Manager

Job not on LinkedIn

October 14

Apply Now

Receive Emails with Similar Jobs

Stanford Health Care

WebsiteLinkedInAll Job Openings

Healthcare Insurance • Pharmaceuticals • Biotechnology

Stanford Health Care is a leading healthcare provider affiliated with Stanford University, offering a wide range of medical services, including primary, specialty, and emergency care. Known for its cutting-edge research and innovation in medicine, the facility also partners with Stanford Medicine and Stanford School of Medicine to provide top-tier medical education and research opportunities. Patient care is enhanced through their MyHealth online and mobile platforms, allowing easy access to medical records, appointment scheduling, and bill payments. Stanford Health Care is dedicated to improving health outcomes through advanced technology, personalized care, and comprehensive health services.

10,000+ employees

Founded 1991

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🧬 Biotechnology

📋 Description

• Conducts prospective and retrospective reviews/audits of charge capture practices in the clinical departments • Reports findings, provides education to both Providers and charge capture support staff • Coordinates charge capture improvement tools in collaboration with Revenue Cycle TDS IT teams • Reports potential compliance issues for further analysis and follow-up to the Compliance Department • Works to ensure a compliant and consistent system CDM • Provides education to clinical department staff regarding CPT codes, HCPCS codes, revenue codes and modifiers and their compliance use • Leads projects to improve revenue capture, increase efficiencies in the charge capture process, and reduce provider burden with the charging process • Performs basic financial analyses to report the impact of charge capture practice changes and corrections to current practices • 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 computer systems, specifically, Epic Care and related interfaces • Strong written and verbal communication skills to articulate analyses and findings to Chairs, DFAs and Clinical Operations leadership • Proven Ability to provide leadership skills in problem identification and issue resolution • Ability to influence decision-making through persuasive data-supported arguments

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development