Revenue Integrity Operations Supervisor

April 16

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The Wilshire Group

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Experience you can trust; results you can count on

Epic and General Revenue Cycle Implementation • ICD-10 Services • Health Information Management • Coding Education • Revenue Integrity

11 - 50

Description

• The Revenue Integrity department has systemwide responsibilities for charge capture integrity for both hospital and professional services. The incumbent serves as an expert in quality assurance of design, development, and application of integrated charge capture systems and programming designed to bridge health informatics with charge capture, billing requirements, and workflow for optimal efficiencies and to secure reimbursement. Incumbent provides detailed and in-depth analysis, quality assurance, reporting consultation, and recommendations in support of revenue cycle management functions including programming modifications, clinical interpretations and education, audit, and analysis. Incumbent regularly interacts with all levels of management and staff to provide education and training on necessary documentation, interpretation, system applications, reporting capabilities, and modifications to workflow for appropriate charge capture and facilitate accurate reimbursement. Provides supervisory duties for the department.

Requirements

• Minimum 5 years in a leadership/supervisory position in a Revenue Integrity or Revenue Cycle role. • Strong knowledge of healthcare revenue cycle operations, concepts, and policies and their impact throughout the organization, with an in-depth understanding of related functions and issues including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture; experience with both facility and physician provider charging and coding • Ability to establish and maintain effective working relationships across the Health System -Ability to maintain a work pace appropriate to the workload • Excellent written and verbal communication skills in English • Knowledge and understanding of interface communication systems and data transmission • CPC, COC, or CPMA Certification or coding certification equivalent. • Must demonstrate high-level analytical skills • Demonstrated ability to work in a team environment • Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties • 5 years of internal and/or external auditing experience • Familiarity with software packages • Demonstrated customer service skills Preferred Qualifications: • Epic Certified in Resolute applications • Recent acute care hospital experience and ambulatory outpatient clinic experience • Recent acute hospital experience • Knowledge of California's healthcare environment • Familiarity with Microsoft Office Products • Working knowledge of academic healthcare center policies and procedures related to revenue cycles

Benefits

• This position offers 65% of fee sharing • Equivalent to $75-$100 per hour