Manager – Revenue Integrity

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Tenet Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🧬 Biotechnology

🧘 Wellness

💰 $2G Post-IPO Debt on 2022-05

Healthcare • Biotechnology • Wellness

Tenet Healthcare is a leading healthcare services company that owns and operates hospitals, outpatient centers, and other healthcare facilities. With a focus on providing high-quality and accessible medical care to communities across the United States, Tenet Healthcare is committed to improving patient outcomes and enhancing the healthcare experience. They also offer innovative treatment options and invest in health technology to support their mission of delivering exceptional care.

📋 Description

• Oversee professional staff managing, coordinating, and implementing Charge Description Master (CDM) and charge capture initiatives and processes • Provide senior leadership and interact with internal and external executive-level staff • Facilitate CDM and charge capture education • Ensure adherence to government and non-government regulatory directives and establish controls for audits and reviews • Facilitate revenue management communications and information flow • Oversee accurate and timely patient accounting system changes and updates to support data integrity and claims processing • Ensure quality reviews identify and minimize system errors • Plan revenue management strategies using data and report analyses • Prepare and administer the annual budget and maintain budgetary controls • Serve as a resource and consultant to customers and collaborate with internal departments • Manage a professional team evaluating, planning, implementing, and reporting revenue management strategies • Evaluate and maintain workflow processes for efficiency across the revenue cycle • Research and interpret regulatory guidance, billing and coding changes, and managed care contracts • Provide incident management, problem resolution, and enterprise-wide solutions • Oversee special projects including new clients, system conversions, acquisitions, departments, service lines, regulatory changes, and legal reviews • Oversee strategic pricing initiatives and conduct financial analyses • Manage CDM and charge capture corrective measures and monitoring tools • Review statistics and key performance indicators to identify improvement opportunities and ensure compliance • Interview, hire, train, assign, direct, and appraise employees; address complaints and resolve problems

🎯 Requirements

• Bachelor’s degree or higher; related experience may be considered in lieu of degree • Prior supervisory experience required • Minimum of five years healthcare-related experience required • Working knowledge of laws and regulations pertaining to the healthcare industry required • Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required • Prior CDM or charge capture experience required • Strong interpersonal communication and presentation skills • Ability to present ideas clearly and concisely to executives, management, facility groups, and individuals • Ability to respond professionally to complex inquiries • Ability to define problems, collect data, establish facts, draw conclusions, and make recommendations • Understanding of external and internal drivers affecting revenue management • Ability to analyze state and federal regulatory information, managed care contracts, claims production systems, patient accounting systems, clinical/order entry systems, ancillary systems, and CDM • Ability to research published resources, reference materials, Internet resources, seminars, and related information sources • Working knowledge of MS Office applications, including Excel, Word, Access, and PowerPoint • Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, and CCS highly desirable • Ability to sit for long periods, use hands and fingers, reach, talk, and hear • Must frequently lift and/or move up to 25 pounds • Some travel required

🏖️ Benefits

• Management level positions may be eligible for sign-on and relocation bonuses • Medical, dental, vision, disability, life, and business travel insurance • Paid time off (vacation & sick leave) – min of 12 days per year • 401k with up to 6% employer match • 10 paid holidays per year • Health savings accounts • Healthcare & dependent flexible spending accounts • Employee Assistance program • Employee discount program • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance • For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act