Associate Director, Revenue Integrity

🔥 13 hours ago

🏈 Alabama, Alaska, +34 more states – Remote

🏈 Alabama – Remote 🐻 Alaska – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $37 - $61 / hour

⏰ Full Time

🟠 Senior

👔 Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Banner Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1999

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Banner Health is a leading healthcare system committed to making healthcare easier through comprehensive patient services and resources. They provide a safe place for care with services ranging from emergency and urgent care, imaging, and surgery centers to maternity and hospice care. Banner Health also offers telehealth options to ensure access to healthcare, regardless of location. They support athletes through Banner Orthopedics & Sports Medicine and have been recognized for exceptional patient care. With advanced digital tools, they aim to manage healthcare seamlessly for their patients.

📋 Description

• Provide operational oversight of the Revenue Integrity Analyst team • Optimize revenue through charge capture reconciliation, charge capture reviews, education, and compliant processes • Educate and develop team members and manage Revenue Integrity Specialists • Roll out process changes and projects • Troubleshoot questions from team members and outside stakeholders • Monitor and trend financial data related to charge capture and implement process improvements • Liaise between Revenue Integrity and clinical/operational departments • Support finance, operations, and revenue cycle teams through special projects • Analyze and communicate deficient charging trends and corrective action plans • Confirm billable items and services are charged appropriately and timely • Provide recommendations and updates to the Revenue Integrity Steering Committee • Maintain regulatory knowledge and develop charge capture and reconciliation policies and procedures • Monitor and report monthly revenue integrity KPI dashboard metrics • Implement charge capture review programs and coordinate documentation, coding, billing, and payment processes • Manage charge reviews for coding changes and new service lines • Identify compliance and revenue leakage issues • Manage company-wide charge capture, charge reconciliation, and chart reviews related to charging issues

🎯 Requirements

• Bachelor’s degree in business, health care administration, or equivalent work experience • 5+ years of recent experience in Revenue Integrity • At least 2 years of experience in a leadership role, including performance management of direct reports • Must reside in one of the listed eligible states • Strong knowledge of business and/or healthcare • RHIA, RHIT, CCS, CPC, or CCS-P certification may be required depending on setting, or relevant work experience • Five or more years of health care coding and billing experience • Thorough knowledge of ICD/DRG coding and/or CPT coding principles • Knowledge of AHIMA coding competencies • In-depth knowledge of medical terminology, anatomy and physiology • Understanding of clinical records, coding conventions, reimbursement guidelines, LCDs/NCDs, and MACs/FIs • Critical and analytical thinking skills • Ability to organize workload, meet deadlines, maintain confidentiality, research, interpret information, and develop recommendations • Excellent written and oral communication skills • Human relations and leadership skills

🏖️ Benefits

• Banner supplies equipment • Health, financial, and security benefits • Great Place To Work® Certified™ workplace • Drug-free work environment